NEVADA FAMILY PRACTICE RESIDENCE PROGRAM NPI 1083683874

NPI Information

NEVADA FAMILY PRACTICE RESIDENCE PROGRAM is a pharmacy in Las Vegas, NV. The provider is 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 located. NEVADA FAMILY PRACTICE RESIDENCE PROGRAM NPI is 1083683874. The provider is registered as an organization entity type.
The provider Other Name Is Campus Pharmacy Iii.

The provider's business location address is:

4000 E CHARLESTON BLVD
B-130
LAS VEGAS, NV
ZIP 89104-659
Phone: (702) 968-4038
Fax: (702) 968-4033

The provider's authorized official is Kenneth J. Ryan .
The authorized official title is Pharmacist/manager and has the following contact phone number (702) 968-4038.

The enumeration date for this NPI number is 3/15/2006 and was last updated on 10/5/2010.

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:

Other Identifiers

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

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