Organization
M PHARMACY LLC
Active
Other names
M Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID VASENDEN RPH (MANAGER)
(775) 772-1185
Entity
Organization
Contact information
Practice address
12300 LAS VEGAS BLVD S, HENDERSON, NV 89044-9506
(702) 797-1900
(702) 797-1901
Mailing address
12300 LAS VEGAS BLVD S, HENDERSON, NV 89044-9506
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH02472
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2991556
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/26/2009
Last updated
03/09/2009
About Stedi
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