Organization
VEGAS PHARMACY LLC
Active
Other names
Vegas Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLY LENDE PHARM.D (PHARMACIST IN CHARGE)
(702) 410-5620
Entity
Organization
Contact information
Practice address
8352 W WARM SPRINGS RD STE 330, LAS VEGAS, NV 89113-3631
(702) 410-5620
(702) 444-4021
Mailing address
8352 W WARM SPRINGS RD STE 330, LAS VEGAS, NV 89113-3631
(702) 410-5620
(702) 444-4021
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHC04324
NV STATE BOARD OF PHARMACY LICENSE
NV
Enumeration date
12/11/2020
Last updated
03/07/2023
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