MEDICARE: CNS SCRIPS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336L0003X	Long Term Care Pharmacy	PH02253	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2052256	OTHER		PK

General Provider Information

NPI Number	:	1205029220
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CNS SCRIPS LLC

Provider Business Mailing Address
First Line	:	6625 S VALLEY VIEW BLVD STE 100-102
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-4527
Country	:	US
Telephone Number	:	702-731-4800
Fax Number	:	702-731-4807

Provider Business Practice Location Address
First Line	:	6625 S VALLEY VIEW BLVD STE 100-102
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-4527
Country	:	US
Telephone Number	:	702-731-4800
Fax Number	:	702-731-4807

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KRISTIAN RENE LAZO
Credential	:
Telephone Number	:	702-731-4800

Provider Enumeration Date	:	08/22/2007
Last Update Date	:	02/27/2025

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Directions to “CNS SCRIPS LLC ” Practice Location

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