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) 432-7907
(775) 343-0102
Mailing address
2345 E PRATER WAY, SUITE 111, SPARKS, NV 89434-9600
(941) 350-0665
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH03261
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508264979
—
NV
01
—
2149668
PK
—
Enumeration date
12/16/2014
Last updated
01/23/2017
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