Ken'S Pharmacy
LBN: C & R Pharmacy
Ken'S Pharmacy is an health care organization with primary practice located at 2202 W Charleston Blvd Ste 13, Las Vegas NV 89102-2232. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
C & R Pharmacy can be contacted via phone (702) 384-3784, or through Heaton, Kenneth via phone (702) 384-3784.
Contact Information
Primary practice address
2202 W Charleston Blvd Ste 13
Las Vegas NV 89102-2232
Phone: (702) 384-3784
Fax: (702) 384-3796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | PH02759 | Nevada |
Profile Details
| NPI number | 1023380219 |
|---|---|
| LBN Legal business name | C & R Pharmacy |
| DBA Doing business as | Ken'S Pharmacy |
| Authorized official | Heaton, Kenneth RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 2nd, 2012 |
| Last updated | Jan 18th, 2017 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023380219 | NPPES |
| Nevada | MEDICAID | 100526901 | |
| Nevada | Other | 2133755 |
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