Organization
NATIONAL SPECIALTY PHARMACY LLC
Active
Other names
National Specialty Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
STUART JOSEPH KOSZER RPH (PHARMACY MANAGER)
(702) 480-9074
Entity
Organization
Contact information
Practice address
3022 W POST RD, LAS VEGAS, NV 89118-3836
(702) 832-3320
(702) 425-9784
Mailing address
3022 W POST RD, LAS VEGAS, NV 89118-3836
(702) 832-3320
(702) 425-9784
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH03193
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145894
PK
—
Enumeration date
06/20/2014
Last updated
08/11/2020
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