Huntridge Drug

LBN: Peterson Family Drug Llc
Huntridge Drug is an health care organization with primary practice located at 1144 E Charleston Blvd , Las Vegas NV 89104-1558. 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. Peterson Family Drug Llc can be contacted via phone (702) 382-7373, or through Bock, Shari via phone (702) 382-7373.

Contact Information

Primary practice address
1144 E Charleston Blvd Las Vegas NV 89104-1558
Phone: (702) 382-7373
Fax: (702) 382-5927
Website:
Map and Directions
Authorized official contact:
Name: Bock, Shari
Phone: (702) 382-7373

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH02165 Nevada

Profile Details

NPI number 1285851386
LBN Legal business name Peterson Family Drug Llc
DBA Doing business as Huntridge Drug
Authorized official Bock, Shari
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2007
Last updated Jul 19th, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285851386 NPPES
Other 2052232 PK
MEDICAID 1285851386 PK

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