Individual
DIEGO DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2211 N RAMPART BLVD, LAS VEGAS, NV 89128-7640
(702) 256-5200
Mailing address
1005 SMITH ST, LAS VEGAS, NV 89108-1561
(702) 498-9306
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20928
NV
Other
Enumeration date
12/23/2021
Last updated
12/23/2021
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