Individual
JACOBY WAYNE-THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4391 E WASHINGTON AVE, LAS VEGAS, NV 89110-5715
(702) 452-2937
Mailing address
4401 W WASHINGTON AVE, LAS VEGAS, NV 89107-2056
(702) 767-1351
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20244
NV
Other
Enumeration date
12/05/2020
Last updated
12/05/2020
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