MEDICARE: SILVER STATE PHARMACY 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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1699240697
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SILVER STATE PHARMACY LLC

Provider Business Mailing Address
First Line	:	1591 N BUFFALO DR STE 140
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-3632
Country	:	US
Telephone Number	:	702-463-3891
Fax Number	:	702-463-2551

Provider Business Practice Location Address
First Line	:	1591 N BUFFALO DR STE 140
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-3632
Country	:	US
Telephone Number	:	702-463-3891
Fax Number	:	702-463-2551

Authorized Official
Title or Position	:	OWNER
Name	:	LIZET TORRES
Credential	:
Telephone Number	:	702-463-3891

Provider Enumeration Date	:	10/05/2018
Last Update Date	:	10/05/2018

Similar Medicare Providers

1083614945 — DR. NATHAN DAVID NOAKES DC
Practice Location Address:

1591 N BUFFALO DR , SUITE #120
LAS VEGAS, NV
89128-3632

Practice Phone: 702-838-8988
Practice Fax: 702-838-3903

1063563880 — BEAUTIFUL MACHINE CHIROPRACTIC LLC
Practice Location Address:

1591 N BUFFALO DR , STE 120
LAS VEGAS, NV
89128-3632

Practice Phone: 702-838-8988
Practice Fax: 702-838-3903

1255457248 — DANA ANN SEAMAN PT
Practice Location Address:

2800 E DESERT INN RD STE 200
LAS VEGAS, NV
89121-3632

Practice Phone: 702-294-7499
Practice Fax: 702-735-0097

1780988105 — HILLARY MARIE DEGNAN
Practice Location Address:

3632 AUSTELL ST
LAS VEGAS, NV
89129-6452

Practice Phone: 661-435-7228
Practice Fax:

1831617695 — NICHOLAS HOGAN DIBBLE DPT
Practice Location Address:

2800 E DESERT INN RD STE 200
LAS VEGAS, NV
89121-3632

Practice Phone: 702-294-7499
Practice Fax: 702-735-0097

1013424068 — DOMINIC JUNG SOO KOO PT
Practice Location Address:

2800 E DESERT INN RD STE 200
LAS VEGAS, NV
89121-3632

Practice Phone: 702-294-7499
Practice Fax:

Directions to “SILVER STATE PHARMACY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.