Individual
W ALEXANDRIA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 VISTA BLVD, SPARKS, NV 89436-6702
(775) 359-7044
(775) 359-7049
Mailing address
3000 VISTA BLVD, SPARKS, NV 89436-6702
(775) 359-7044
(775) 359-7049
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14825
NV
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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