Emerald Lake, I Nc
Community/Retail Pharmacy
500 S Martin L King Blvd Ste D, Las Vegas
Nevada, 89106-4424
702-678-6776 702-678-6661
Emerald Lake, I Nc is a Community/Retail Pharmacy in Las Vegas, Nevada. It is located at 500 S Martin L King Blvd Ste D, Las Vegas and it's customer support contact number is 702-678-6776. The authorized person of Emerald Lake, I Nc is Mr. Marcel C Ezeoke, R.PH who is Manager of the pharmacy and his contact number is 702-678-6776. Active license number of Emerald Lake, I Nc is PH01612 for Community/Retail Pharmacy in Nevada.
Emerald Lake, I Nc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Emerald Lake, I Nc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Emerald Lake, I Nc |
| Type: | Community/Retail Pharmacy |
| Location: | 500 S Martin L King Blvd Ste D, Las Vegas,
Nevada, 89106-4424 |
| Phone: | 702-678-6776 |
| Fax: | 702-678-6661 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Marcel C Ezeoke |
| Credentials: | R.PH |
| Position: | Manager |
| Contact Number: | 702-678-6776 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1942341896 |
| NPI Enumeration Date: | 12 Feb, 2007 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Emerald Lake, I Nc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PH01612 | Nevada | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2802694 | Medicaid | Nevada | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 500 S Martin L King Blvd Ste D,
Las Vegas, Nevada |
| Zip: | 89106-4424 |
| Phone Number: | 702-678-6776 |
| Fax Number: | 702-678-6661 |
Patients can reach Emerald Lake, I Nc at
500 S Martin L King Blvd Ste D, Las Vegas, Nevada or can
call on customer care at 702-678-6776.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.