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NPI Code Detail

MEDICARE: VILLAGE EAST DRUGS

MEDICARE: VILLAGE EAST DRUGS
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
1333600000XPharmacyPH00389NV
23336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12901002OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1841351665
Entity Type Code : Organization
Provider Name (Legal Business Name) : VILLAGE EAST DRUGS
Provider Business Mailing Address
First Line : 5025 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-2318
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5025 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-2318
Country : US
Telephone Number : 702-736-7018
Fax Number : 702-736-6113
Authorized Official
Title or Position : OWNER PHARMACIST
Name : RONALD HORVATH
Credential : RPH
Telephone Number : 702-736-7018
Provider Enumeration Date : 12/13/2006
Last Update Date : 09/11/2025

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Directions to “VILLAGE EAST DRUGS ” Practice Location

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