Organization
FOOD4LESS OF SOUTHERN CALIFORNIA INC
Active
Other names
FOOD4LESS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA TRUSTER (PHARMACY ECOMMERCE MANAGER)
(513) 387-7113
Entity
Organization
Contact information
Practice address
3864 W SAHARA AVE, LAS VEGAS, NV 89102-0505
(702) 871-4100
(702) 367-8178
Mailing address
3864 W SAHARA AVE, LAS VEGAS, NV 89102-0505
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH01776
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002802345
—
NV
01
—
2987800
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/01/2006
Last updated
02/20/2009
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