State Of Nevada
Clinic Pharmacy
1590 W Sunset Rd, Henderson
Nevada, 89014-6633
702-486-6860 702-486-6862
State Of Nevada is a Clinic Pharmacy in Henderson, Nevada. It is located at 1590 W Sunset Rd, Henderson and it's customer support contact number is 702-486-6860. The authorized person of State Of Nevada is Charles Costas who is Statewide Pharmacy Director of the pharmacy and his contact number is 702-486-6301. Active license number of State Of Nevada is PH01180 for Clinic Pharmacy in Nevada.
State Of Nevada is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Pharmacy Details:
State Of Nevada 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: | State Of Nevada |
| Type: | Clinic Pharmacy |
| Location: | 1590 W Sunset Rd, Henderson,
Nevada, 89014-6633 |
| Phone: | 702-486-6860 |
| Fax: | 702-486-6862 |
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: | Charles Costas |
| Position: | Statewide Pharmacy Director |
| Contact Number: | 702-486-6301 |
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: | 1417192980 |
| NPI Enumeration Date: | 11 Dec, 2008 |
| NPI Last Update On: | 13 Jul, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for State Of Nevada are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic Pharmacy | PH01180 | 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 |
| 2052188 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1590 W Sunset Rd,
Henderson, Nevada |
| Zip: | 89014-6633 |
| Phone Number: | 702-486-6860 |
| Fax Number: | 702-486-6862 |
Patients can reach State Of Nevada at
1590 W Sunset Rd, Henderson, Nevada or can
call on customer care at 702-486-6860.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.