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NPI Code Detail

MEDICARE: LV UNIQUE CARE LLC

MEDICARE: LV UNIQUE CARE 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
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy

General Provider Information

NPI Number : 1366100190
Entity Type Code : Organization
Provider Name (Legal Business Name) : LV UNIQUE CARE LLC
Provider Business Mailing Address
First Line : 4503 W SAHARA AVE # 170
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-3760
Country : US
Telephone Number : 702-866-7777
Fax Number :
Provider Business Practice Location Address
First Line : 4503 W SAHARA AVE # 170
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-3760
Country : US
Telephone Number : 702-866-7777
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : ANGELA BALIAN
Credential : DOCTOR OF PHARMACY
Telephone Number : 702-866-7777
Provider Enumeration Date : 11/29/2021
Last Update Date : 04/21/2022

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Directions to “LV UNIQUE CARE LLC ” Practice Location

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