MEDICARE: SOUTHWEST MEDICAL ASSOCIATES INC

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	333600000X	Pharmacy
2	3336C0002X	Clinic Pharmacy

General Provider Information

NPI Number	:	1326993726
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHWEST MEDICAL ASSOCIATES INC

Provider Business Mailing Address
First Line	:	PO BOX 35380
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89133-5380
Country	:	US
Telephone Number	:	702-579-3203
Fax Number	:

Provider Business Practice Location Address
First Line	:	2300 W CHARLESTON
Second Line	:	STE 201A & 201B
City	:	LAS VEGAS
State	:	NV
Zip	:	89102
Country	:	US
Telephone Number	:	725-230-3390
Fax Number	:

Authorized Official
Title or Position	:	ASSOCIATE DIRECTOR
Name	:	EMILY CASTILLO
Credential	:
Telephone Number	:	702-480-2550

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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