Individual
DR. JEREMIAH ANN VERGEL DE DIOS YULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2329
(702) 383-2039
Mailing address
8565 LOST GOLD AVE, LAS VEGAS, NV 89129-8336
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
23060
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23060
NV PHARMACY LICENSE
NV
Enumeration date
09/22/2022
Last updated
09/22/2022
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