Individual
BRENT SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
6480 SKY POINTE DR, T-1462, LAS VEGAS, NV 89131-4038
(702) 656-4791
(702) 656-4791
Mailing address
6480 SKY POINTE DR, T-1462, LAS VEGAS, NV 89131-4038
(702) 656-4791
(702) 656-4791
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15372
NV
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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