STATE OF NEVADA NPI 1417192980

NPI Information

STATE OF NEVADA is a clinic pharmacy pharmacy in Henderson, NV. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. STATE OF NEVADA NPI is 1417192980. The provider is registered as an organization entity type.
The provider Is Doing Business As Southern Nevada Adult Mental Health Pharmacy.

The provider's business location address is:

1590 W SUNSET RD
HENDERSON, NV
ZIP 89014-633
Phone: (702) 486-6860
Fax: (702) 486-6862

The provider's authorized official is Charles Costas .
The authorized official title is Statewide Pharmacy Director and has the following contact phone number (702) 486-6301.

The enumeration date for this NPI number is 12/11/2008 and was last updated on 7/13/2016.

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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