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State Of Nevada
Clinic Pharmacy in Henderson, Nevada
NPI 1417192980

State Of Nevada is a Clinic Pharmacy based in Henderson, NV and is specialized in Clinic Pharmacy. State Of Nevada practices in Henderson, NV. The NPI Number for State Of Nevada is 1417192980 and holds a License No. PH01180 (Nevada).

The current practice location address for State Of Nevada is 1590 W Sunset Rd, Henderson, NV and can be reached out via phone at 702-486-6860 and via fax at 702-486-6862.

Location: 1590 W Sunset Rd, Henderson, NV, 89014-6633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417192980
Provider Name
State Of Nevada
Credential
Provider Entity Type
Organization
Address
1590 W Sunset Rd, Henderson, NV, 89014-6633
Phone Number
702-486-6860
Fax Number
702-486-6862
Provider Enumeration Date
12/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2052188 01 PK
institution
Provider Business Practice Location Address Details
Address
1590 W Sunset Rd
City
Henderson
State
Nevada
Zip
89014-6633
Phone Number
702-486-6860
Fax Number
702-486-6862
person
Provider Business Mailing Address Details
Address
1590 W Sunset Rd
City
Henderson
State
Nevada
Zip
89014-6633
Phone Number
702-486-6860
Fax Number
702-486-6862
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
PH01180 (Nevada)
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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