Organization
LEVEL CARE PHARMACY I LLC
Active
Other names
Level Care Pharmacy I LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MAT KHAN (VP-PHARMACY CONTRACTING)
(847) 370-9915
Entity
Organization
Contact information
Practice address
212 CARPENTERS UNION WAY STE 500, LAS VEGAS, NV 89119
(702) 905-4435
(702) 920-7410
Mailing address
212 CARPENTERS UNION WAY STE 500, LAS VEGAS, NV 89119-4231
(847) 370-9915
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
054.020657
IL
3336S0011X
Specialty Pharmacy
Primary
129516
AK
3336S0011X
Specialty Pharmacy
2018007412
MO
3336S0011X
Specialty Pharmacy
22-104763
KS
3336S0011X
Specialty Pharmacy
265520
MN
3336S0011X
Specialty Pharmacy
28RO00168200
NJ
3336S0011X
Specialty Pharmacy
64002460A
IN
3336S0011X
Specialty Pharmacy
A9-0002116
DE
3336S0011X
Specialty Pharmacy
OSP.0007064
CO
3336S0011X
Specialty Pharmacy
P07692
MD
3336S0011X
Specialty Pharmacy
PCN.0003419
CT
3336S0011X
Specialty Pharmacy
PH03795
NV
3336S0011X
Specialty Pharmacy
PH31152
FL
3336S0011X
Specialty Pharmacy
PHAR1466
ND
3336S0011X
Specialty Pharmacy
PHNR001391
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2171909
PK
—
Enumeration date
10/10/2017
Last updated
04/16/2021
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