Provider Demographics
NPI:1689912834
Name:COOPERATIVE HEALTH SOLUTIONS
Entity Type:Organization
Organization Name:COOPERATIVE HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:NEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-674-6180
Mailing Address - Street 1:6268 SPRING MOUNTAIN RD STE 105B
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-8874
Mailing Address - Country:US
Mailing Address - Phone:702-674-6180
Mailing Address - Fax:
Practice Address - Street 1:6268 SPRING MOUNTAIN RD STE 105B
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-8874
Practice Address - Country:US
Practice Address - Phone:702-674-6180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-23
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41168183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty