Individual
HARRY NATHAN TISHK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1568 FIELDBROOK ST, HENDERSON, NV 89052-6406
(702) 610-6410
(702) 914-3655
Mailing address
1568 FIELDBROOK ST., HENDERSON, NV 89052
(702) 610-6410
(702) 914-3655
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
027131
MO
183500000X
Pharmacist
1-08372
KS
183500000X
Pharmacist
Primary
11419
NV
183500000X
Pharmacist
S012370
AZ
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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