Individual
TAMMIE MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
6101 W LAKE MEAD BLVD, LAS VEGAS, NV 89108-2660
(702) 648-2732
Mailing address
6101 W LAKE MEAD BLVD, LAS VEGAS, NV 89108-2660
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18768
NV
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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