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VICTORY PHARMACY NPI 1780620658


NPI Information

NPI: 1780620658
Provider Name: VICTORY PHARMACY
Classification: Pharmacist - 183500000X
Entity Type: Organization
Address:
4161 S EASTERN AVE
A3
LAS VEGAS, NV
ZIP 89119
Phone: (702) 893-9361
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VICTORY PHARMACY is a pharmacist in Las Vegas, NV. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. VICTORY PHARMACY NPI is 1780620658. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4161 S EASTERN AVE
A3
LAS VEGAS, NV
ZIP 89119-484
Phone: (702) 893-9361
Fax: (702) 893-9364

The provider's authorized official is Vicotr Beraja .
The authorized official title is Owner and has the following contact phone number (702) 893-9361.

The enumeration date for this NPI number is 6/21/2006 and was last updated on 4/17/2008.


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
1183500000XPharmacistPH02108NEVADAYes

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
15713320001MEDICARE NSCNEVADA
22989347OTHERNEVADANCPDP

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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