Organization
SPRING VALLEY PHARMACY
Active
Other names
SPRING VALLEY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA NGUYEN PHARMD (OWNER/PHARMACIST)
(702) 248-4119
Entity
Organization
Contact information
Practice address
2725 S JONES BLVD, STE 101, LAS VEGAS, NV 89146-5667
(702) 248-4119
(702) 248-6884
Mailing address
2725 S JONES BLVD, STE 101, LAS VEGAS, NV 89146-5667
(702) 248-4119
(702) 248-6884
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH02375
NV
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2052303
PK
—
Enumeration date
04/29/2008
Last updated
09/06/2016
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