Individual
ERIC SHALITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3067
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP034865-L
PA
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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