Individual
PAUL TAGGART MANABAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3201 S MARYLAND PKWY, #218, LAS VEGAS, NV 89109-2441
(702) 862-8075
Mailing address
3201 S MARYLAND PKWY, #218, LAS VEGAS, NV 89109-2441
(702) 862-8075
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19357
NV
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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