Organization
A1C PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER WONG PHARM D (PRESIDENT)
(702) 899-8097
Entity
Organization
Contact information
Practice address
4601 W SAHARA AVE STE P, LAS VEGAS, NV 89102
(702) 899-8097
Mailing address
4601 W SAHARA AVE STE P, LAS VEGAS, NV 89102-3633
(702) 899-8097
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH03803
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871005041
—
NV
Enumeration date
10/27/2017
Last updated
07/03/2018
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