Individual
MS. FERN TRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4800 W CHARLESTON BLVD, LAS VEGAS, NV 89146-1400
(702) 877-9026
Mailing address
PO BOX 95784, LAS VEGAS, NV 89193-5784
(702) 510-3608
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
09913
NV
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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