Individual
DANA FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1799 MOUNT MARIAH DR, LAS VEGAS, NV 89106-1501
(702) 636-5454
Mailing address
601 S GREEN VALLEY PKWY, HENDERSON, NV 89052-0404
(702) 896-2956
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18813
NV
183500000X
Pharmacist
S021183
AZ
Other
Enumeration date
12/05/2014
Last updated
02/02/2024
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