Individual
THOMAS JOACHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6101 W LAKE MEAD BLVD, LAS VEGAS, NV 89108-2660
(702) 648-2732
Mailing address
2204 HUMBLE HOLLOW PL, NORTH LAS VEGAS, NV 89084-3166
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17012
NV
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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