Organization
AEVA II LLC
Active
Other names
Aeva Specialty Pharmacy 2
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA DEINET (PRESIDENT)
(702) 558-2382
Entity
Organization
Contact information
Practice address
4641 BLUE DIAMOND RD STE 120B, LAS VEGAS, NV 89139-7610
(702) 558-2382
Mailing address
4641 BLUE DIAMOND RD STE 120B, LAS VEGAS, NV 89139-7610
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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