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General NPI Number Information
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NPI Number | 1972459774
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Entity Type | Organization
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Legal Business Name | ARISE PHARMACY LLC
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Dates
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Enumeration Date | 03/05/2026
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 3399 S EASTERN AVE STE B
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City | LAS VEGAS
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State | NV
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Zip | 89169-3312
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Country | US
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Telephone | 725-735-6904
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Fax | 725-735-6907
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Provider Business Mailing Address
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Address Line | 3399 S EASTERN AVE
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City | LAS VEGAS
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State | NV
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Zip | 89169-3312
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Country | US
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Telephone | 725-735-6904
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Fax | 725-735-6907
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Authorized Official
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Title or Position | PHARMACIST
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Name | MODUPE IROROBEJE
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Credential |
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Telephone | 954-663-1759
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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