Organization
VEGAS PHARMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY DELK (MANAGING MEMBER)
(516) 351-0208
Entity
Organization
Contact information
Practice address
2121 E FLAMINGO RD STE 216, LAS VEGAS, NV 89119-5124
(775) 354-6856
Mailing address
2121 E FLAMINGO RD STE 216, LAS VEGAS, NV 89119-5124
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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