Organization
TLGRX CORPORATION
Active
Organization
TLGRX CORPORATION
Active
Other names
SOLUTIONS SPECIALTY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW LASARSO (PIC)
(702) 792-3777
Entity
Organization
Contact information
Practice address
8579 S EASTERN AVE STE B, LAS VEGAS, NV 89123-2887
(702) 792-3777
(702) 792-1171
Mailing address
8579 S EASTERN AVE, STE B, LAS VEGAS, NV 89123-2887
(702) 792-3777
(702) 792-1171
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHC02144
NV
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720099369
—
NV
01
—
2052190
PK
—
Enumeration date
08/10/2006
Last updated
11/23/2016
Update your record
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