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NPI Code Detail

MEDICARE: MR. ROBERT GEORGE LATCHFORD RPH

MEDICARE:  MR. ROBERT GEORGE LATCHFORD  RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist14148NV

General Provider Information

NPI Number : 1285720300
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT GEORGE LATCHFORD RPH
Provider Business Mailing Address
First Line : 2455 W CHEYENNE AVE
Second Line : ROOM 117
City : NORTH LAS VEGAS
State : NV
Zip : 89032-4325
Country : US
Telephone Number : 702-636-3000
Fax Number :
Provider Business Practice Location Address
First Line : 2455 W CHEYENNE AVE
Second Line : 117
City : NORTH LAS VEGAS
State : NV
Zip : 89032-4325
Country : US
Telephone Number : 702-636-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 07/08/2007

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Directions to “ MR. ROBERT GEORGE LATCHFORD RPH” Practice Location

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