Individual
JOSEPH ENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10250 W CHARLESTON BLVD, LAS VEGAS, NV 89135-1020
(702) 838-7548
(702) 838-5706
Mailing address
10250 W CHARLESTON BLVD, LAS VEGAS, NV 89135-1020
(702) 838-7548
(702) 838-5706
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10582
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10582
NEVADA STATE BOARD OF PHARMACY
NV
Enumeration date
02/21/2019
Last updated
02/21/2019
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