Nevada State Pharmacy - Las Vegas LLC
Pharmacy, Long Term Care Pharmacy in Las Vegas, NV. Organization (NPI-2).
NPI number1982121109
StatusActive
Last updated in NPPESJul 19, 2018
Details
- NPI
- 1982121109
- Entity type
- Organization (NPI-2)
- Legal business name
- Nevada State Pharmacy - Las Vegas LLC
- Organization subpart
- No
- Enumeration date
- Aug 28, 2017
- Last updated
- Jul 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | PH03815 | NV | Yes |
| 333600000X | Pharmacy | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Nevada State Pharmacy (Doing Business As)
Practice location
3022 W Post RdLas Vegas, NV 89118-3836
Phone 702-916-1600 · Fax 702-916-1900
Mailing address
3022 W Post RdLas Vegas, NV 89118-3836
Phone 702-916-1600 · Fax 702-916-1900
Authorized official
John Martin
Director
7029161600
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