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Organization

FVS HOLDINGS INC

Active
Other names
Nevada Drug Compounding Pharmacy East
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA WILLIAMS (ADMINISTRATION ASSISTANT)
(702) 564-2079
Entity
Organization

Contact information

Practice address
3041 W HORIZON RIDGE PKWY, STE 100, HENDERSON, NV 89052-3948
(702) 293-6900
(702) 293-0095
Mailing address
1850 WHITNEY MESA DR, STE 180, HENDERSON, NV 89014-2091
(702) 564-2079
(702) 948-6820

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
3336C0004X
Compounding Pharmacy
Primary
PH01713
NV
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2900199
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
02/21/2007
Last updated
02/22/2013
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