Provider Demographics
NPI:1295003028
Name:PHAMS SIN CITY CARE LTD
Entity Type:Organization
Organization Name:PHAMS SIN CITY CARE LTD
Other - Org Name:ACE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-275-7733
Mailing Address - Street 1:6085 S FORT APACHE RD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-5545
Mailing Address - Country:US
Mailing Address - Phone:702-675-3050
Mailing Address - Fax:702-675-3053
Practice Address - Street 1:6085 S FORT APACHE RD STE 160
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-5546
Practice Address - Country:US
Practice Address - Phone:702-675-3050
Practice Address - Fax:702-675-3053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-07
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPH027453336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2992851OtherNCPDP PROVIDER IDENTIFICATION NUMBER