Nellis Care Pharmacy
LBN: Nellis Care Pharmacy Inc
Nellis Care Pharmacy is an health care organization with primary practice located at 348 N Nellis Blvd , Las Vegas NV 89110-0053. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Nellis Care Pharmacy Inc can be contacted via phone (702) 531-6523, or through Sherafat, Shahn via phone (702) 272-2874.
Contact Information
Primary practice address
348 N Nellis Blvd
Las Vegas NV 89110-0053
Phone: (702) 531-6523
Fax: (702) 531-6524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH02838 | Nevada |
Profile Details
| NPI number | 1316212194 |
|---|---|
| LBN Legal business name | Nellis Care Pharmacy Inc |
| DBA Doing business as | Nellis Care Pharmacy |
| Authorized official | Sherafat, Shahn |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 13th, 2012 |
| Last updated | Jun 21st, 2016 - about 10 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 | 1316212194 | NPPES |
| Nevada | MEDICAID | 10052733 | |
| Nevada | Other | 2134367 | |
| Nevada | MEDICAID | 1316212194 |
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