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PHARMERICA MOUNTAIN LLC NPI 1346261575


NPI Information

NPI: 1346261575
Provider Name: PHARMERICA MOUNTAIN LLC

Doing Business As: PHARMERICA

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
3825 W CHEYENNE AVE # 603
NORTH LAS VEGAS, NV
ZIP 89032
Phone: (702) 871-1920
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PHARMERICA MOUNTAIN LLC is a long term care pharmacy pharmacy in North Las Vegas, NV. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. PHARMERICA MOUNTAIN LLC NPI is 1346261575. The provider is registered as an organization entity type.
The provider Is Doing Business As Pharmerica.

The provider's business location address is:

3825 W CHEYENNE AVE # 603
NORTH LAS VEGAS, NV
ZIP 89032-408
Phone: (702) 871-1920
Fax: (702) 871-4203

The provider's authorized official is Allison L. Brown .
The authorized official title is Secretary and has the following contact phone number (502) 630-7429.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 2/13/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care PharmacyPH01635NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PHC01635OTHERNEVADABOARD OF PHARMACY
2003702002MEDICAIDNEVADA
310562714-1708OTHERUTAHBOARD OF PHARMACY
410562714-8913OTHERUTAHCONTROLLED SUBSTANCE
511465757-1708OTHERUTAHBOARD OF PHARMACY
63000009MEDICAIDUTAH
711465757-8913OTHERUTAHBOARD OF PHARMACY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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