Individual
PATTY LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
850 S RANCHO DR, LAS VEGAS, NV 89106-3810
(702) 878-7414
Mailing address
9117 SAG VALLEY CT, LAS VEGAS, NV 89113-6222
(310) 619-8882
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19366
NV
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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