NPI 1003500158
Josephine Pharmacy, LLC
Practice location
- Address
- 2013 E Charleston Blvd, Las Vegas, NV 89104-2056
- Phone
- (702) 403-1118
- Fax
- (702) 403-1108
- Mailing address
- 6013 Cottontail Cove St, Las Vegas, NV 89130-1352
Authorised official
- Name
- Obiageli Lisa Momodu
- Title
- Managing Pharmacist
- Phone
- (702) 480-6221
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1003500158
- Entity type
- Organization
- NPI issued
- 2 Jun 2023
- Record last updated
- 12 Sep 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.