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Individual

DR. BETSEY BERGQUIST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
4040 MARTIN LUTHER KING BLVD, STE B, NORTH LAS VEGAS, NV 89032
(702) 625-6624
Mailing address
4040 MARTIN LUTHER KING BLVD, STE B, NORTH LAS VEGAS, NV 89032
(702) 625-6624

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
20396
NV

Other

Enumeration date
06/26/2020
Last updated
06/26/2020
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