Organization
UHS RETAIL PHARMACY LLC
Active
Organization
UHS RETAIL PHARMACY LLC
Active
Other names
CentRx Pharmacy Valley Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CHAN BSC PHARMACY (MANAGING CONSULTANT)
(775) 440-7424
Entity
Organization
Contact information
Practice address
620 SHADOW LN, LAS VEGAS, NV 89106-4119
(702) 425-4904
(214) 451-6110
Mailing address
653 N TOWN CENTER DR, LAS VEGAS, NV 89144-0514
(702) 470-2695
(702) 243-8794
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH03318
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568854289
—
NV
01
—
2151237
PK
—
Enumeration date
03/04/2015
Last updated
10/27/2016
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