Organization
LAS VEGAS SCRIPTS RX LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN EDOUARD PHARM D. (C.E.O.)
(702) 832-3600
Entity
Organization
Contact information
Practice address
2920 N GREEN VALLEY PKWY STE 814, HENDERSON, NV 89014
(833) 834-2779
(833) 834-2780
Mailing address
2920 N GREEN VALLEY PKWY STE 814, HENDERSON, NV 89014-0409
(702) 832-3600
(702) 832-5733
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
19462
NV
3336C0004X
Compounding Pharmacy
Primary
19462
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PD13983
ARKANSAS - BOP PHARMACY REGISTRATION #
AR
01
—
PH03930
NEVADA BOP PHARMACY REGISTRATION #
NV
01
—
PS48399
FLORIDA BOP PHARMACY REGISTRATION #
FL
Enumeration date
07/07/2018
Last updated
04/12/2019
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