Provider Demographics
NPI:1629569892
Name:SAHARA LIMITED GROUP LLC.
Entity Type:Organization
Organization Name:SAHARA LIMITED GROUP LLC.
Other - Org Name:WEST VALLEY PHARAMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGEMENT MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:XUAN
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:714-642-1514
Mailing Address - Street 1:6125 W SAHARA AVE STE 1A
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-3002
Mailing Address - Country:US
Mailing Address - Phone:702-330-9836
Mailing Address - Fax:702-330-9761
Practice Address - Street 1:6125 W SAHARA AVE STE 1A
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-3002
Practice Address - Country:US
Practice Address - Phone:702-330-9836
Practice Address - Fax:702-330-9761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-23
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPH038933336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVNAOtherNA.