Individual
DR. SAMIR T MOKADDEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCPS
Contact information
Practice address
63 TETON PINES DR, HENDERSON, NV 89074-0697
(702) 458-4623
Mailing address
63 TETON PINES DR, HENDERSON, NV 89074-0697
(702) 458-4623
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
10104
NV
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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