Provider Demographics
NPI:1497042600
Name:BY HIS STRIPES INC
Entity Type:Organization
Organization Name:BY HIS STRIPES INC
Other - Org Name:BHS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TUNRAREBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-290-4613
Mailing Address - Street 1:2870 S MARYLAND PKWY
Mailing Address - Street 2:SUITE #110
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-5031
Mailing Address - Country:US
Mailing Address - Phone:702-836-3670
Mailing Address - Fax:702-836-3390
Practice Address - Street 1:2870 S MARYLAND PKWY STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-1548
Practice Address - Country:US
Practice Address - Phone:702-836-3670
Practice Address - Fax:702-836-3390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-08
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPHO27113336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2992661OtherNCPDP PROVIDER IDENTIFICATION NUMBER