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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