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Individual

EMMANUEL VERGARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
3201 S MARYLAND PKWY STE 218, LAS VEGAS, NV 89109-2424
(702) 862-8075
Mailing address
1405 S NELLIS BLVD UNIT 2010, LAS VEGAS, NV 89104-5851
(702) 885-1025

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20923
NV

Other

Enumeration date
08/03/2021
Last updated
08/11/2022
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