FARMACIA DEL PUEBLO INC
2123 Civic Center Dr
North Las Vegas, NV 89030
702-399-9477
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0004X | Suppliers - Pharmacy - Compounding Pharmacy | ||
N | 3336S0011X | Suppliers - Pharmacy | ||
N | 333600000X | Suppliers - Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | NV | PH02238 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
100512761 | NV | MEDICAID | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 2990629 | OTHER |