Individual
MARILYN MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4411 E BONANZA RD, LAS VEGAS, NV 89110-3385
(702) 452-5652
Mailing address
5476 FUNKS GROVE LN, LAS VEGAS, NV 89122-7764
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
20608
NV
Other
Enumeration date
11/16/2020
Last updated
11/17/2020
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