MEDICARE: ASSIST CARE PHARMACY 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	3336L0003X	Long Term Care Pharmacy	PH1387	NV

General Provider Information

NPI Number	:	1770886582
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSIST CARE PHARMACY INC.

Provider Business Mailing Address
First Line	:	3045 E POST RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-2791
Country	:	US
Telephone Number	:	702-889-8007
Fax Number	:	702-889-8026

Provider Business Practice Location Address
First Line	:	3045 E. POST RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120
Country	:	US
Telephone Number	:	702-889-8007
Fax Number	:	702-889-8026

Authorized Official
Title or Position	:	OWNER/PHARMACY MANAGER
Name	:	MS. LAURA SCHACKEL
Credential	:	R.PH.
Telephone Number	:	702-889-8007

Provider Enumeration Date	:	12/16/2010
Last Update Date	:	09/21/2015

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