Organization · Type 2 NPI
Plaza Medical SVCS and Supply LLC
Long Term Care Pharmacy · Las Vegas, NM
NPI number
1124033733
Active
Practice location
1700 Plaza St Ste D
Las Vegas, NM 87701-3463
Fax (505) 425-5222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | PH00002787 (NM) |
| Long Term Care Pharmacy Primary | 3336L0003X | None listed |
Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
About NPI 1124033733
Plaza Medical SVCS and Supply LLC's National Provider Identifier is 1124033733, issued on Jul 30, 2006. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Las Vegas, NM. The record was last updated on Sep 11, 2025.