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NPI Code Detail

MEDICARE: ACRX SPECIALTY PHARMACY

MEDICARE: ACRX SPECIALTY PHARMACY
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
1332800000XIndian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
2333600000XPharmacy
33336H0001XHome Infusion Therapy Pharmacy
43336L0003XLong Term Care Pharmacy
53336S0011XSpecialty Pharmacy
63336C0004XCompounding PharmacyPH03673NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12167202OTHERPK

General Provider Information

NPI Number : 1053858480
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACRX SPECIALTY PHARMACY
Provider Business Mailing Address
First Line : 3200 SOARING GULLS DR
Second Line : SUITE 101
City : LAS VEGAS
State : NV
Zip : 89129-2198
Country : US
Telephone Number : 702-800-6448
Fax Number :
Provider Business Practice Location Address
First Line : 3200 SOARING GULLS DR STE 101
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-2198
Country : US
Telephone Number : 702-800-6448
Fax Number :
Authorized Official
Title or Position : OWNER
Name : EGHOMWARE IGBINOVIA
Credential :
Telephone Number : 702-800-6448
Provider Enumeration Date : 01/24/2017
Last Update Date : 01/24/2017

Similar Medicare Providers

1598791808 — DR. KURT WILLIAM TROTTER D.M.D.
Practice Location Address:
3200 SOARING GULLS DR STE 106
LAS VEGAS, NV
89129-2198
Practice Phone: 702-656-8111
Practice Fax: 702-656-6488
1356436661 — DR. BRIAN ANDERSON O.D.
Practice Location Address:
3200 SOARING GULLS DRIVE , SUITE 104
LAS VEGAS, NV
89129-2198
Practice Phone: 702-645-3211
Practice Fax: 702-645-8878
1619054079 — DR. SCOTT ROY MOHLMAN DDS
Practice Location Address:
3200 SOARING GULLS DR , #101
LAS VEGAS, NV
89129-2198
Practice Phone: 702-655-1611
Practice Fax: 702-655-1994
1629120720 — SCOTT MOHLMAN DDS PC
Practice Location Address:
3200 SOARING GULLS DR , #101
LAS VEGAS, NV
89129-2198
Practice Phone: 702-655-1611
Practice Fax: 702-655-1994
1154544419 — BOYD BLOIS MOSS DMD
Practice Location Address:
3200 SOARING GULLS DR , SUITE 106
LAS VEGAS, NV
89129-2198
Practice Phone: 702-647-4438
Practice Fax: 702-656-6488
1992176044 — MICHELLE ANNE NORVELL APRN
Practice Location Address:
3200 SOARING GULLS DR STE 103
LAS VEGAS, NV
89129-2198
Practice Phone: 702-201-1400
Practice Fax: 702-915-7514

Directions to “ACRX SPECIALTY PHARMACY ” Practice Location

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