Organization
SOUTHERN NEVADA HEALTH DISTRICT
Active
Organization
SOUTHERN NEVADA HEALTH DISTRICT
Active
Other names
Southern Nevada Health District Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW GLASS (DIRECTOR OF ADMINISTRATION/AO)
(702) 759-0875
Entity
Organization
Contact information
Practice address
280 S DECATUR BLVD, LAS VEGAS, NV 89107-2936
(702) 759-1135
(702) 759-1440
Mailing address
PO BOX 3902, LAS VEGAS, NV 89127
(702) 759-1135
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH03565
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2165974
PK
—
Enumeration date
10/31/2016
Last updated
07/19/2018
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