Organization
OPTUMRX PHARMACY OF NEVADA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN EUGENE BURR (SECRETARY)
(712) 310-4701
Entity
Organization
Contact information
Practice address
960 W CRAIG ROAD, NORTH LAS VEGAS, NV 89032-3204
(714) 825-3780
Mailing address
960 W CRAIG ROAD, NORTH LAS VEGAS, NV 89032-3204
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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