Individual
BON RIWILIN ANTIPORTA ALBANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2667 WINDMILL PKWY, HENDERSON, NV 89074-3384
(702) 361-1157
(702) 361-0642
Mailing address
6178 MEADOWGRASS LN, LAS VEGAS, NV 89103-1118
(702) 882-5651
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24057
NV
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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