Individual
MRS. CHRISTY LEE HAYTACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4010 W ALI BABA LN STE F, LAS VEGAS, NV 89118-1673
(702) 483-4230
(702) 483-4611
Mailing address
12049 ARAGON SPRINGS AVE, LAS VEGAS, NV 89138-2008
(712) 249-1801
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
17639
NV
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
12710
NE
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
17639
NV
Other
Enumeration date
11/30/2011
Last updated
01/10/2017
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