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Organization

ALI RAZA LLC

Active
Other names
FAMILY PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
ALI RAZA (OWNER/MANAGER)
(775) 751-1144
Entity
Organization

Contact information

Practice address
1360 E HIGHWAY 372 # 15, PAHRUMP, NV 89048-2187
(775) 751-1144
Mailing address
1360 E HIGHWAY 372 # 15, PAHRUMP, NV 89048-2187
(775) 751-1144

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
NV
333600000X
Pharmacy
Primary
NV

Other

Enumeration date
04/09/2009
Last updated
05/21/2010
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