Individual
DR. TODD BLEAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1140 ALMOND TREE LN STE 306, LAS VEGAS, NV 89104-3233
(702) 657-3873
Mailing address
2777 PARADISE RD UNIT 204, LAS VEGAS, NV 89109-9028
(702) 461-5421
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
11505
NV
1835P2201X
Ambulatory Care Pharmacist
Primary
11505
NV
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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