Organization · Type 2 NPI

Nevada Family Practice Residence Program

Pharmacy · Las Vegas, NV

NPI number 1083683874 Active

Practice location

4000 E Charleston Blvd, B-130
Las Vegas, NV 89104-6659

Fax (702) 968-4033

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	PH1189 (NV)

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

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About NPI 1083683874

Nevada Family Practice Residence Program's National Provider Identifier is 1083683874, issued on Mar 15, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Las Vegas, NV. The record was last updated on Oct 5, 2010.