Organization
NEVADA STATE PHARMACY - LAS VEGAS LLC
Active
Other names
Nevada State Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MARTIN (DIRECTOR)
(702) 916-1600
Entity
Organization
Contact information
Practice address
3022 W POST RD, LAS VEGAS, NV 89118-3836
(702) 916-1600
(702) 916-1900
Mailing address
3022 W POST RD, LAS VEGAS, NV 89118-3836
(702) 916-1600
(702) 916-1900
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH03815
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2171424
PK
—
Enumeration date
08/28/2017
Last updated
07/19/2018
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