Organization
UHS RETAIL PHARMACY LLC
Active
Organization
UHS RETAIL PHARMACY LLC
Active
Other names
CentRx Pharmacy Centennial Hills
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN PEMBER BSC PHARMACY (CEO)
(610) 302-3300
Entity
Organization
Contact information
Practice address
6850 N DURANGO DR STE 108, LAS VEGAS, NV 89149-4596
(702) 470-2694
(214) 451-6110
Mailing address
6850 N DURANGO DR STE 108, LAS VEGAS, NV 89149-4596
(702) 470-2694
(214) 451-6110
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH03289
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150423
PK
—
Enumeration date
02/12/2015
Last updated
01/23/2017
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