Organization
ALI RAZA LLC
Active
Organization
ALI RAZA LLC
Active
Other names
Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALI RAZA (OWNER)
(702) 413-6500
Entity
Organization
Contact information
Practice address
4527 W SAHARA AVE, LAS VEGAS, NV 89102-3760
(702) 413-6500
(702) 413-6502
Mailing address
4527 W SAHARA AVE, LAS VEGAS, NV 89102-3760
(702) 413-6500
(702) 413-6502
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH02870
NV
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841547411
—
NV
01
—
2136460
PK
—
Enumeration date
08/13/2012
Last updated
11/12/2014
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