Organization
VICTORY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICOTR BERAJA RPH (OWNER)
(702) 893-9361
Entity
Organization
Contact information
Practice address
4161 S EASTERN AVE, A3, LAS VEGAS, NV 89119-5484
(702) 893-9361
(702) 893-9364
Mailing address
4161 S EASTERN AVE, A3, LAS VEGAS, NV 89119-5484
(702) 893-9361
(702) 893-9364
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH02108
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2989347
NCPDP
NV
Enumeration date
06/21/2006
Last updated
04/17/2008
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