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NPI Code Detail

MEDICARE: DEBBIE L NETARDUS RPH

MEDICARE: DEBBIE L NETARDUS 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
1183500000XPharmacist13513NV
2183500000XPharmacist36437TX

General Provider Information

NPI Number : 1306122825
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBBIE L NETARDUS RPH
Provider Business Mailing Address
First Line : 3480 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-6709
Country : US
Telephone Number : 702-871-1405
Fax Number : 702-871-1657
Provider Business Practice Location Address
First Line : 3480 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-6709
Country : US
Telephone Number : 702-871-1405
Fax Number : 702-871-1657
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2011
Last Update Date : 10/28/2011

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Directions to “ DEBBIE L NETARDUS RPH” Practice Location

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