Healthcare Provider Details

I. General information

NPI: 1770886582
Provider Name (Legal Business Name): ASSIST CARE PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2010
Last Update Date: 09/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3045 E. POST RD
LAS VEGAS NV
89120
US

IV. Provider business mailing address

3045 E POST RD
LAS VEGAS NV
89120-2791
US

V. Phone/Fax

Practice location:
  • Phone: 702-889-8007
  • Fax: 702-889-8026
Mailing address:
  • Phone: 702-889-8007
  • Fax: 702-889-8026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberPH1387
License Number StateNV

VIII. Authorized Official

Name: MS. LAURA SCHACKEL
Title or Position: OWNER/PHARMACY MANAGER
Credential: R.PH.
Phone: 702-889-8007