Victory Pharmacy is a Pharmacist in Las Vegas, Nevada. Victory Pharmacy practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Victory Pharmacy is 1780620658. The last update date is 2008-04-17.
Victory Pharmacy's current location address is 4161 S Eastern Ave, Las Vegas, Nevada. You can contact this provider via phone number 7028939361 and fax number 7028939364. The mailing address for Victory Pharmacy is 4161 S Eastern Ave, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Victory Pharmacy |
|---|---|
| Address | 4161 S Eastern Ave, Las Vegas, Nevada |
| Phone Number | 7028939361 |
| Fax Number | 7028939364 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Beraja Vicotr |
| Credentials | RPH |
| Telephone Number | 7028939361 |
NPI Number Detail
| NPI Number | 1780620658 |
|---|---|
| Provider Enumeration Date | 2006-06-21 |
| Last Updated Date | 2008-04-17 |
Provider Mailing Address Detail
| Address | 4161 S Eastern Ave |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891195484 |
| Phone Number | 7028939361 |
| Fax Number | 7028939364 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | PH02108 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2989347 | NV | NCPDP |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Victory Pharmacy by the Centers for Medicare & Medicaid Services?
The Victory Pharmacy has been assigned the NPI (National Provider Identifier) 1780620658 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Victory Pharmacy's physical address?
The Victory Pharmacy is physically located at 4161 S Eastern Ave, in the city of Las Vegas, NV, with the postal code 891195484.
What is Victory Pharmacy's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Victory Pharmacy's specialized field of practice is Pharmacist, and the corresponding taxonomy code that categorizes this area of specialization is 183500000X.
On what date did the Victory Pharmacy receive the assignment of its 1780620658 from the Centers for Medicare & Medicaid Services?
The Victory Pharmacy was issued its 1780620658 by the Centers for Medicare & Medicaid Services on 2006-06-21.
As of what date was the information regarding Victory Pharmacy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Victory Pharmacy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-17.