Victory Pharmacy

LBN: Victory Pharmacy
Victory Pharmacy is an health care organization with primary practice located at 4161 S Eastern Ave A3, Las Vegas NV 89119-5484. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty. Victory Pharmacy can be contacted via phone (702) 893-9361, or through Beraja, Vicotr via phone (702) 893-9361.

Contact Information

Primary practice address
4161 S Eastern Ave A3 Las Vegas NV 89119-5484
Phone: (702) 893-9361
Fax: (702) 893-9364
Website:
Map and Directions
Authorized official contact:
Name: Beraja, Vicotr RPH
Phone: (702) 893-9361

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PH02108 Nevada

Profile Details

NPI number 1780620658
LBN Legal business name Victory Pharmacy
DBA Doing business as
Authorized official Beraja, Vicotr RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2006
Last updated Apr 17th, 2008 - about 18 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 1780620658 NPPES
Nevada Other 2989347 NCPDP

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