Provider Demographics
NPI:1184232449
Name:ALL CITY PHARMACY LLC
Entity Type:Organization
Organization Name:ALL CITY PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:GARAKHANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-473-9997
Mailing Address - Street 1:8352 W WARM SPRINGS RD FL 3
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-3628
Mailing Address - Country:US
Mailing Address - Phone:702-473-9997
Mailing Address - Fax:702-473-9987
Practice Address - Street 1:8352 W WARM SPRINGS RD FL 3
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-3628
Practice Address - Country:US
Practice Address - Phone:702-473-9997
Practice Address - Fax:702-473-9987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-22
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy