Organization
PHOENIX PHARMACEUTICALS INC
Active
Other names
phoenix Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE TA (PHARMACY MANAGER)
(702) 685-1233
Entity
Organization
Contact information
Practice address
6096 S FORT APACHE RD # 100, LAS VEGAS, NV 89148-5585
(702) 685-1233
(702) 724-9070
Mailing address
6096 S FORT APACHE RD # 100, LAS VEGAS, NV 89148-5585
(702) 685-1233
(702) 724-9070
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH02973
NV
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141053
PK
—
Enumeration date
07/05/2013
Last updated
10/24/2014
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