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NPI Code Detail

MEDICARE: ALI RAZA LLC

MEDICARE: ALI RAZA LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0004XCompounding Pharmacy
2332B00000XDurable Medical Equipment & Medical Supplies
3333600000XPharmacy
43336C0003XCommunity/Retail PharmacyPH02870NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12136460OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841547411
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALI RAZA LLC
Provider Business Mailing Address
First Line : 4527 W SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-3760
Country : US
Telephone Number : 702-413-6500
Fax Number : 702-413-6502
Provider Business Practice Location Address
First Line : 4527 W SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-3760
Country : US
Telephone Number : 702-413-6500
Fax Number : 702-413-6502
Authorized Official
Title or Position : OWNER
Name : ALI RAZA
Credential :
Telephone Number : 702-413-6500
Provider Enumeration Date : 08/13/2012
Last Update Date : 11/12/2014

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Directions to “ALI RAZA LLC ” Practice Location

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