Provider Demographics
NPI:1952070104
Name:CNS RX DELIVERY LLC
Entity Type:Organization
Organization Name:CNS RX DELIVERY LLC
Other - Org Name:CNS RX DELIVERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANELLE GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-622-4304
Mailing Address - Street 1:895 ROBERTA LN STE 103
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-1898
Mailing Address - Country:US
Mailing Address - Phone:775-622-4304
Mailing Address - Fax:775-622-4057
Practice Address - Street 1:895 ROBERTA LN STE 103
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-1898
Practice Address - Country:US
Practice Address - Phone:775-622-4304
Practice Address - Fax:775-622-4057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-10
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy