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Organization
LAS VEGAS SCRIPTS RX LLC.
Active
Organization
LAS VEGAS SCRIPTS RX LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN EDOUARD PHARM D. (C.E.O.)
(702) 832-3600
Entity
Organization
Contact information
Practice address
2920 N GREEN VALLEY PKWY STE 814, HENDERSON, NV 89014
(833) 834-2779
(833) 834-2780
Mailing address
2920 N GREEN VALLEY PKWY STE 814, HENDERSON, NV 89014-0409
(702) 832-3600
(702) 832-5733
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
19462
NV
3336C0004X
Compounding Pharmacy
Primary
19462
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PD13983
ARKANSAS - BOP PHARMACY REGISTRATION #
AR
01
—
PH03930
NEVADA BOP PHARMACY REGISTRATION #
NV
01
—
PS48399
FLORIDA BOP PHARMACY REGISTRATION #
FL
Enumeration date
07/07/2018
Last updated
04/12/2019
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