Individual
MICHAEL BRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7501 W WASHINGTON AVE, LAS VEGAS, NV 89128-4329
(702) 255-1421
(702) 255-2386
Mailing address
7501 W WASHINGTON AVE, LAS VEGAS, NV 89128-4329
(702) 255-1421
(702) 255-2386
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17004
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17004
PHARMACY LICENSE
NV
Enumeration date
02/11/2010
Last updated
02/11/2010
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