Individual
NATHEN DALE CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2975 E SAHARA AVE, LAS VEGAS, NV 89104-4114
(702) 457-8325
Mailing address
5509 DALLE VALLEY ST, NORTH LAS VEGAS, NV 89031-7846
(702) 374-4116
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18540
NV
Other
Enumeration date
08/01/2013
Last updated
09/30/2015
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