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Nevada Cvs Pharmacy LLC — NPI 1417993569, North Las Vegas, NV | NPI Central

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NPI 1417993569

OrganizationActive

Nevada Cvs Pharmacy LLC

NPI 1417993569 · Pharmacy · North Las Vegas, NV

Provider details

NPI number: 1417993569
Entity type: Organization
Primary specialty: PharmacySuppliers
Organization subpart: No
Authorized official: Cristiana Mauricio, Manager Pharmacy Enrollments(401) 770-2937

Specialties & taxonomies

PharmacyPrimary333600000X
Suppliers
Community/Retail Pharmacy3336C0003X
Suppliers

Practice location

2011 E Lake Mead Blvd

North Las Vegas, NV 89030-7135

Phone: (702) 649-1991

Approximate (ZIP-level) locationGet directions

More NV providers

Mailing address

1 Cvs Dr

Woonsocket, RI 02895-6146

Other names (DBA / former)

Doing business as: Cvs Pharmacy # 08808
Doing business as: Cvs Pharmacy # 08808

Registry dates

Enumerated: 2006-06-20
Last updated: 2021-07-16
Certified: 2021-07-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.