Organization
PETERSON FAMILY DRUG LLC
Active
Other names
Huntridge Drug
Organization subpart
No
Provider details
NPI number
Authorized official
SHARI BOCK (OWNER)
(702) 382-7373
Entity
Organization
Contact information
Practice address
1144 E CHARLESTON BLVD, LAS VEGAS, NV 89104-1558
(702) 382-7373
(702) 382-5927
Mailing address
1144 E CHARLESTON BLVD, LAS VEGAS, NV 89104-1558
(702) 382-7373
(702) 382-5927
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH02165
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285851386
—
NV
01
—
2052232
PK
—
Enumeration date
04/19/2007
Last updated
09/19/2025
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