Organization
LIFEFIRST PHARMACY
Active
Other names
Lifefirst Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GERALDINE OBIAJULU (OWNER/ADMINISTRATOR)
(702) 646-5433
Entity
Organization
Contact information
Practice address
2407 W CHARLESTON BLVD STE 110, LAS VEGAS, NV 89102-2138
(702) 646-5433
(702) 646-1696
Mailing address
2407 W CHARLESTON BLVD STE 110, LAS VEGAS, NV 89102-2138
(702) 646-5433
(702) 646-1696
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PH02475
NV
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760621155
—
NV
01
—
2118837
PK
—
Enumeration date
02/10/2009
Last updated
01/18/2017
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