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KDTK NPI 1528368990


NPI Information

NPI: 1528368990
Provider Name: KDTK

Doing Business As: DOLCRX

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
6820 W CHEYENNE AVE
LAS VEGAS, NV
ZIP 89108
Phone: (702) 436-5279
Get Directions

KDTK is a community/retail pharmacy pharmacy in Las Vegas, NV. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. KDTK NPI is 1528368990. The provider is registered as an organization entity type.
The provider Is Doing Business As Dolcrx.

The provider's business location address is:

6820 W CHEYENNE AVE
LAS VEGAS, NV
ZIP 89108-590
Phone: (702) 436-5279
Fax: (702) 776-8201

The provider's authorized official is Khanh Pham .
The authorized official title is Pharmacy Director & Pic and has the following contact phone number (702) 436-5279.

The enumeration date for this NPI number is 11/1/2010 and was last updated on 1/15/2020.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPH02657NEVADAYes

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
12126219OTHERPK
21528368990MEDICAIDNEVADA

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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