institution
Pharmerica Mountain Llc
Long Term Care Pharmacy in North Las Vegas, Nevada
NPI 1346261575

Pharmerica Mountain Llc is a Long Term Care Pharmacy based in Tampa, NV and is specialized in Long Term Care Pharmacy. Pharmerica Mountain Llc practices in North Las Vegas, NV. The NPI Number for Pharmerica Mountain Llc is 1346261575 and holds a License No. PH01635 (Nevada).

The current practice location address for Pharmerica Mountain Llc is 3825 W Cheyenne Ave # 603, North Las Vegas, NV and can be reached out via phone at 702-871-1920 and via fax at 702-871-4203. You can also correspond with Pharmerica Mountain Llc through the mailing address at 3802 CORPOREX PARK DR, TAMPA, FL - 33619-1125 (mailing address contact number: 813-318-6039).

Location: 3825 W Cheyenne Ave # 603, North Las Vegas, NV, 33619-1125
institution
Provider Profile Details
NPI Number
1346261575
Provider Name
Pharmerica Mountain Llc
Credential
Provider Entity Type
Organization
Address
3825 W Cheyenne Ave # 603, North Las Vegas, NV, 33619-1125
Phone Number
702-871-1920
Fax Number
702-871-4203
Provider Enumeration Date
07/22/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PHC01635 01 NV BOARD OF PHARMACY
003702002 05 NV
10562714-1708 01 UT BOARD OF PHARMACY
10562714-8913 01 UT CONTROLLED SUBSTANCE
11465757-1708 01 UT BOARD OF PHARMACY
3000009 05 UT
11465757-8913 01 UT BOARD OF PHARMACY
institution
Provider Business Practice Location Address Details
Address
3825 W Cheyenne Ave # 603
City
State
Zip
89032-3408
Phone Number
702-871-1920
Fax Number
702-871-4203
person
Provider Business Mailing Address Details
Address
3825 W Cheyenne Ave # 603
City
State
Zip
89032-3408
Phone Number
702-871-1920
Fax Number
702-871-4203
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
License No.
PH01635 (Nevada)
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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