Organization
HIVELLC
Active
Other names
Laughlin Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
YOUJIN SEO (OWNER)
(702) 954-9534
Entity
Organization
Contact information
Practice address
3080 S NEEDLES HWY STE 1800, LAUGHLIN, NV 89029-0894
(702) 709-5300
(702) 709-5303
Mailing address
3080 S NEEDLES HWY STE 1800, LAUGHLIN, NV 89029-0894
(702) 709-5300
(702) 709-5303
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/16/2023
Last updated
01/30/2025
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