Organization
LAS VEGAS PAIUTE TRIBE CLINIC
Active
Other names
LAS VEGAS PAIUTE TRIBE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
SHARONA SOLEYMANI RPH (PHRM MANG)
(702) 382-0784
Entity
Organization
Contact information
Practice address
1257 PAIUTE CIR, LAS VEGAS, NV 89106-3202
(702) 382-0784
(702) 366-0999
Mailing address
1257 PAIUTE CIR, LAS VEGAS, NV 89106-3202
(702) 382-0784
(702) 366-0999
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004702100
—
NV
01
—
2050819
PK
—
Enumeration date
01/11/2007
Last updated
09/30/2016
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