Individual
LISA WETHERINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
6900 PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
(702) 224-6900
Mailing address
6900 PECOS RD, ROOM 1D331, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
(702) 224-6900
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT 0717
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
490107010055861
PHARMACY TECHNICIAN CERTIFICATION BOARD
NV
01
—
PT 0717
NEVADA STATE BOARD OF PHARMACY
NV
Enumeration date
12/10/2013
Last updated
12/10/2013
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