Individual
NICOLE ELAINE SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9750 PYRAMID LAKE HWY, SPARKS, NV 89441-7549
(775) 425-2727
Mailing address
2769 SILVERTON WAY, SPARKS, NV 89436-7417
(775) 232-9590
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15453
NV
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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