Provider Demographics
NPI:1821886797
Name:AMG PHARMACY LLC
Entity type:Organization
Organization Name:AMG PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:M
Authorized Official - Last Name:TSAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-228-8389
Mailing Address - Street 1:7958 CAPE FLATTERY AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-4774
Mailing Address - Country:US
Mailing Address - Phone:949-228-8389
Mailing Address - Fax:
Practice Address - Street 1:4655 QUALITY CT STE D
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-7200
Practice Address - Country:US
Practice Address - Phone:949-228-8389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:APRIL MT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-29
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy