Individual
BRANDY DEPOORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8656 W PATRICK LN, LAS VEGAS, NV 89148-5043
(702) 777-7187
Mailing address
8656 W PATRICK LN, LAS VEGAS, NV 89148-5043
(702) 777-7187
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16942
NV
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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