Provider Demographics
NPI:1316021694
Name:APPLIED PHARMACY SERVICES, LLC
Entity Type:Organization
Organization Name:APPLIED PHARMACY SERVICES, LLC
Other - Org Name:REMEDY RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:A
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:702-304-0770
Mailing Address - Street 1:6370 W FLAMINGO RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-2273
Mailing Address - Country:US
Mailing Address - Phone:702-304-0770
Mailing Address - Fax:702-304-0778
Practice Address - Street 1:6370 W FLAMINGO RD
Practice Address - Street 2:SUITE 1
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-2273
Practice Address - Country:US
Practice Address - Phone:702-304-0770
Practice Address - Fax:702-304-0778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPH01518332B00000X, 3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002802887Medicaid
NV002802887Medicaid