Provider Demographics
NPI:1205029220
Name:CNS SCRIPS LLC
Entity Type:Organization
Organization Name:CNS SCRIPS LLC
Other - Org Name:CNS SCRIPS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIAN RENE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-731-4800
Mailing Address - Street 1:6625 S VALLEY VIEW BLVD STE 100-102
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-4527
Mailing Address - Country:US
Mailing Address - Phone:702-731-4800
Mailing Address - Fax:702-731-4807
Practice Address - Street 1:6625 S VALLEY VIEW BLVD STE 100-102
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-4527
Practice Address - Country:US
Practice Address - Phone:702-731-4800
Practice Address - Fax:702-731-4807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPH022533336L0003X, 3336L0003X
333600000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2052256OtherPK