MEDICARE: A1 PHARMACY STAFFING 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
1	183500000X	Pharmacist

General Provider Information

NPI Number	:	1144119249
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A1 PHARMACY STAFFING LLC

Provider Business Mailing Address
First Line	:	PO BOX 370694
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89137-0694
Country	:	US
Telephone Number	:	216-577-3647
Fax Number	:

Provider Business Practice Location Address
First Line	:	8636 INWOOD DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-4801
Country	:	US
Telephone Number	:	216-577-3647
Fax Number	:

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	LAWRENCE COLEMAN
Credential	:	RPH
Telephone Number	:	323-394-7599

Provider Enumeration Date	:	07/02/2025
Last Update Date	:	07/02/2025

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