Provider Demographics
NPI:1568115608
Name:US PHARMACY LLC
Entity Type:Organization
Organization Name:US PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TANIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIETO HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-788-0486
Mailing Address - Street 1:3871 S VALLEY VIEW BLVD STE 13
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-2962
Mailing Address - Country:US
Mailing Address - Phone:702-916-4622
Mailing Address - Fax:702-916-4623
Practice Address - Street 1:3871 S VALLEY VIEW BLVD STE 13
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-2962
Practice Address - Country:US
Practice Address - Phone:702-916-4622
Practice Address - Fax:702-916-4623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-29
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy