Organization
UHS RETAIL PHARMACY LLC
Active
Other names
CentRx Pharmacy Summerlin
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN PEMBER BSC PHARMACY (CEO)
(610) 302-3300
Entity
Organization
Contact information
Practice address
653 N TOWN CENTER DR STE 100, LAS VEGAS, NV 89144-0515
(775) 432-7907
(214) 451-6110
Mailing address
653 N TOWN CENTER DR STE 100, LAS VEGAS, NV 89144-0515
(214) 578-1583
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH03290
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881085140
—
NV
01
—
2150425
PK
—
Enumeration date
02/09/2015
Last updated
01/23/2017
About Stedi
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