Organization
NEVADA DRUG COMPOUNDING PHARMACY EAST
Active
Parent organization
FVS HOLDINGS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
FVS HOLDINGS, INC.
Authorized official
MR. GLENN TRUITT (GENERAL COUNSEL)
(702) 564-2079
Entity
Organization
Contact information
Practice address
3041 W HORIZON RIDGE PKWY, #100, HENDERSON, NV 89052-3948
(702) 293-6900
Mailing address
3041 W HORIZON RIDGE PKWY, #100, HENDERSON, NV 89052-3948
(702) 293-6900
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH01713
NV
3336C0004X
Compounding Pharmacy
PH01713
NV
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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