Organization
ADMIX INFUSION PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES D PHIPPS PHARMD (PHARMACIST-IN-CHARGE / OWNER)
(702) 217-8748
Entity
Organization
Contact information
Practice address
6725 S EASTERN AVE, STE 8, LAS VEGAS, NV 89119-3948
(702) 852-2260
(702) 852-2261
Mailing address
6725 S EASTERN AVE, STE 8, LAS VEGAS, NV 89119-3948
(702) 852-2260
(702) 852-2261
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
PH03668
NV
333600000X
Pharmacy
PH03668
NV
3336C0003X
Community/Retail Pharmacy
PH03668
NV
3336C0004X
Compounding Pharmacy
PH03668
NV
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PH03668
NV
3336S0011X
Specialty Pharmacy
PH03668
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH03668
NEVADA BOARD OF PHARMACY
NV
Enumeration date
01/17/2017
Last updated
01/17/2017
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