Organization
OPTUMRX PHARMACY OF NEVADA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN EUGENE BURR (SECRETARY)
(712) 310-4701
Entity
Organization
Contact information
Practice address
1945 LAS VEGAS BLVD S, LAS VEGAS, NV 89104-1310
(702) 650-4417
(702) 369-5940
Mailing address
1945 LAS VEGAS BOULEVARD SOUTH, ATTN: RENA DAWN CARRERA, LAS VEGAS, NV 89104
(702) 650-4417
(702) 369-5940
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/12/2006
Last updated
03/29/2024
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