Individual
DR. KRYSTAL KC RICCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, BCACP, CDCES
Contact information
Practice address
3050 E DESERT INN RD STE 116, LAS VEGAS, NV 89121-3872
(702) 796-0660
Mailing address
11 SUNSET WAY, HENDERSON, NV 89014-2333
(702) 968-5582
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
17625
NV
1835P2201X
Ambulatory Care Pharmacist
17625
NV
Other
Enumeration date
07/13/2009
Last updated
11/30/2021
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