Provider Demographics
NPI:1164890513
Name:BARCLAY, LUKE & PILLAI SPECIALTY PHARMACY, PLLC
Entity Type:Organization
Organization Name:BARCLAY, LUKE & PILLAI SPECIALTY PHARMACY, PLLC
Other - Org Name:META PHARMACY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:LUKE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD, MBA
Authorized Official - Phone:702-754-0172
Mailing Address - Street 1:8352 W WARM SPRINGS RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-3628
Mailing Address - Country:US
Mailing Address - Phone:702-754-0172
Mailing Address - Fax:
Practice Address - Street 1:8352 W WARM SPRINGS RD
Practice Address - Street 2:SUITE 120
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-3628
Practice Address - Country:US
Practice Address - Phone:702-754-0172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-02
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPH034333336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy