Organization
HENDERSON SPECIALTY RX LLC
Active
Other names
SIENA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR CHERNYAVSKY (MANAGING MEMBER)
(702) 476-9088
Entity
Organization
Contact information
Practice address
2865 SIENA HEIGHTS DR STE 111, HENDERSON, NV 89052-4168
(702) 476-9088
(702) 442-8123
Mailing address
2865 SIENA HEIGHTS DR STE 111, HENDERSON, NV 89052-4168
(702) 476-9088
(702) 442-8123
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH04439
BOARD OF PHARMACY
NV
Enumeration date
10/24/2022
Last updated
08/05/2024
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