Organization
ATLAS SPECIALTY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NELSON MWANGI MUKUNA PHARM D (DIRECTOR OF PHARMACY)
(702) 744-8060
Entity
Organization
Contact information
Practice address
301 N PECOS RD, HENDERSON, NV 89074-1349
(702) 744-8060
(702) 947-4760
Mailing address
301 N PECOS RD, HENDERSON, NV 89074-1349
(702) 744-8060
(702) 947-4760
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH03217
NEVADA STATE BOARD OF PHARMACY
NV
Enumeration date
07/31/2014
Last updated
08/28/2014
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