Provider Demographics
NPI:1336763119
Name:AMIN, HITESH R (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:HITESH
Middle Name:R
Last Name:AMIN
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7697 WHITE GINGER AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89178-8403
Mailing Address - Country:US
Mailing Address - Phone:702-439-3470
Mailing Address - Fax:
Practice Address - Street 1:SAV-ON PHARMACY
Practice Address - Street 2:1008 NEVADA WAY
Practice Address - City:BOULDER CITY
Practice Address - State:NV
Practice Address - Zip Code:89005
Practice Address - Country:US
Practice Address - Phone:702-293-7592
Practice Address - Fax:702-293-7606
Is Sole Proprietor?:No
Enumeration Date:2020-06-08
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12279183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist