Individual
NICHOLAS AMIEL PANGANIBAN CALLANTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
618 MUSSER ST., CARSON CITY, NV 89703
(800) 787-2568
Mailing address
10374 CELESTIAL ECHO ST, LAS VEGAS, NV 89183-4235
(702) 769-9369
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24027
NV
183500000X
Pharmacist
88879
CA
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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