Provider Demographics
NPI:1982368171
Name:TMS PHARMACY LLC
Entity Type:Organization
Organization Name:TMS PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAHSIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHANAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:257-204-9605
Mailing Address - Street 1:580 E WINDMILL LN STE 135
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-1871
Mailing Address - Country:US
Mailing Address - Phone:725-204-1322
Mailing Address - Fax:725-204-5637
Practice Address - Street 1:580 E WINDMILL LN STE 135
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-1871
Practice Address - Country:US
Practice Address - Phone:257-204-9605
Practice Address - Fax:725-204-5068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-25
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy