Individual
KEITH WELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2019 SMOKETREE VILLAGE CIR, HENDERSON, NV 89012-2167
(702) 403-0253
Mailing address
2019 SMOKETREE VILLAGE CIR, HENDERSON, NV 89012-2167
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19012
NV
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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