Organization
UHS RETAIL PHARMACY LLC
Active
Other names
CentRx Pharmacy Northern Nevada
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN PEMBER BSC PHARMACY (CEO)
(610) 302-3300
Entity
Organization
Contact information
Practice address
2345 E PRATER WAY STE 111, SPARKS, NV 89434-9664
(775) 432-7908
(775) 343-0107
Mailing address
2345 E PRATER WAY STE 111, SPARKS, NV 89434-9664
(775) 432-7907
(775) 343-0102
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
PH03261
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157991
PK
—
Enumeration date
12/22/2014
Last updated
01/23/2017
About Stedi
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