Individual
JORDAN NACOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9080 LAWTON PINE DR, LAS VEGAS, NV 89129-7044
(702) 821-6926
Mailing address
9080 LAWTON PINE AVE, LAS VEGAS, NV 89129
(702) 821-6926
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
11883
NV
183500000X
Pharmacist
36178
NY
183500000X
Pharmacist
Primary
39028
CA
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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