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Organization
FVS HOLDINGS INC
Active
Organization
FVS HOLDINGS INC
Active
Other names
Nevada Drug Compounding Pharmacy East
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WILLIAMS (ADMINISTRATION ASSISTANT)
(702) 564-2079
Entity
Organization
Contact information
Practice address
3041 W HORIZON RIDGE PKWY, STE 100, HENDERSON, NV 89052-3948
(702) 293-6900
(702) 293-0095
Mailing address
1850 WHITNEY MESA DR, STE 180, HENDERSON, NV 89014-2091
(702) 564-2079
(702) 948-6820
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
PH01713
NV
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2900199
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/21/2007
Last updated
02/22/2013
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