Organization
UHS RETAIL PHARMACY, LLC
Active
Other names
CentRx Pharmacy Northern Nevada
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN PEMBER (CEO)
(610) 302-3300
Entity
Organization
Contact information
Practice address
2345 E PRATER WAY STE 111, SPARKS, NV 89434-9664
(775) 432-7907
(775) 343-0102
Mailing address
2345 E PRATER WAY STE 111, SPARKS, NV 89434-9664
(775) 432-7907
(775) 343-0102
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
PH03261
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158007
PK
—
Enumeration date
02/22/2016
Last updated
01/23/2017
About Stedi
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