Organization
GETTYS CORP LLP
Active
Other names
PATHWAY SPECIALTY COMPOUNDS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DARLENE WILD PHARMACIST - RPH (OPERATIONS MANAGER)
(702) 541-6023
Entity
Organization
Contact information
Practice address
2560 E SUNSET RD, STE 120, LAS VEGAS, NV 89120
(702) 541-6023
(702) 405-8135
Mailing address
2560 E SUNSET RD, STE 120, LAS VEGAS, NV 89120
(702) 541-6023
(702) 405-8135
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH02590
NV
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
PH02340
NV
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2990794
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/12/2008
Last updated
04/05/2013
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