MEDICARE: A 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
1	3336C0003X	Community/Retail Pharmacy	PH02381	NV

General Provider Information

NPI Number	:	1194140152
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A PHARMACY

Provider Business Mailing Address
First Line	:	4592 SPRING MOUNTAIN RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-8716
Country	:	US
Telephone Number	:	702-646-1100
Fax Number	:	702-646-1166

Provider Business Practice Location Address
First Line	:	4592 SPRING MOUNTAIN RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-8716
Country	:	US
Telephone Number	:	702-646-1100
Fax Number	:	702-646-1166

Authorized Official
Title or Position	:	RPH/OWNER
Name	:	MR. AN THUC HA
Credential	:	PHARMD
Telephone Number	:	702-646-1100

Provider Enumeration Date	:	02/27/2014
Last Update Date	:	02/27/2014

Similar Medicare Providers

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Directions to “A PHARMACY ” Practice Location

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