MEDICARE: PHARMASSIST 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	18843	NV

General Provider Information

NPI Number	:	1679965966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMASSIST LLC

Provider Business Mailing Address
First Line	:	2200 S FORT APACHE RD
Second Line	:	2129
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-5705
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 S FORT APACHE RD
Second Line	:	2129
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-5705
Country	:	US
Telephone Number	:	775-319-4056
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MEE LE
Credential	:	PHARMD
Telephone Number	:	775-319-4056

Provider Enumeration Date	:	02/24/2015
Last Update Date	:	02/24/2015

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