Healthcare Provider Details

I. General information

NPI: 1851037881
Provider Name (Legal Business Name): HENDERSON PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2022
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2410 W HORIZON RIDGE PKWY STE 100
HENDERSON NV
89052-2735
US

IV. Provider business mailing address

2410 W HORIZON RIDGE PKWY STE 100
HENDERSON NV
89052-2735
US

V. Phone/Fax

Practice location:
  • Phone: 702-841-1590
  • Fax: 725-238-4610
Mailing address:
  • Phone: 702-841-1590
  • Fax: 725-238-4610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: BRADLY LENDE
Title or Position: OWNER
Credential: PHARM.D
Phone: 702-841-1590