Individual
JOHN PROMLAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2329
(702) 383-2000
Mailing address
1128 HARE AVE, WALNUT, CA 91789-3928
(949) 394-8791
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19349
NV
183500000X
Pharmacist
76041
CA
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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