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NPI Code Detail

MEDICARE: AMEX PHARMACY LLC

MEDICARE: AMEX PHARMACY 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
13336C0003XCommunity/Retail PharmacyPH01490NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12982026OTHEROTHER ID NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245345289
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMEX PHARMACY LLC
Provider Business Mailing Address
First Line : 4375 W DESERT INN RD
Second Line : STE E
City : LAS VEGAS
State : NV
Zip : 89102-7678
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4375 W DESERT INN RD
Second Line : STE E
City : LAS VEGAS
State : NV
Zip : 89102-7678
Country : US
Telephone Number : 702-889-9200
Fax Number : 702-889-9202
Authorized Official
Title or Position : OWNER
Name : THUHO NGUYEN
Credential : RPH
Telephone Number : 702-768-2912
Provider Enumeration Date : 08/20/2006
Last Update Date : 07/10/2008

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Directions to “AMEX PHARMACY LLC ” Practice Location

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