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Individual

ROBERT MIRAVITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
4905 W TROPICANA AVE, LAS VEGAS, NV 89103-5077
(702) 889-0922
(702) 889-0915
Mailing address
2412 SATELLITE BEACH DR, LAS VEGAS, NV 89134-0405
(702) 785-4563

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17647
NV

Other

Enumeration date
09/20/2011
Last updated
09/20/2011
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