Provider Demographics
NPI:1336254374
Name:ONE WAY DRUG LLC
Entity Type:Organization
Organization Name:ONE WAY DRUG LLC
Other - Org Name:PARTELL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SEIK
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:702-791-3800
Mailing Address - Street 1:5835 S EASTERN AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-3030
Mailing Address - Country:US
Mailing Address - Phone:702-791-3800
Mailing Address - Fax:702-791-3630
Practice Address - Street 1:5835 S EASTERN AVE
Practice Address - Street 2:STE 101
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-3030
Practice Address - Country:US
Practice Address - Phone:702-791-3800
Practice Address - Fax:702-791-3630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0003X
IL0540187333336C0004X
KS22-164603336C0004X
ID41205MS3336C0004X
FLPH238773336C0004X
MTPHA-MPO-LIC475103336C0004X
DEA9-00020643336C0004X
GAPHNR0012563336C0004X
COOSP.00063513336C0004X
IN64002417A3336C0004X
MS16643/7.13336C0004X
MN2653123336C0004X
AK1265843336C0004X
IA48623336C0004X
HIPMP-10863336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2056696OtherPK
NV2802781Medicaid