Emerald Lake, I Nc
Emerald Lake, I Nc is a Community/Retail Pharmacy in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2007.
- Licensed in
- NV
- In the registry since
- 2007
Practice location Address checks out
500 S Martin L King Blvd Ste DLas Vegas, NV 89106-4424
Phone: (702) 678-6776
Fax: (702) 678-6661
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence PH01612 (NV) |
|---|
Record details
| NPI number | 1942341896 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Marcel Ezeoke — Manager · (702) 678-6776 |
| Other names | Emerald Pharmacy |
| NPI enumerated | February 12, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 500 S Martin L King Blvd Ste D, Las Vegas, NV 89106-4424 |
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