MEDICARE: SALLY L CHIA PHARMD

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
1	183500000X	Pharmacist	18013	NV

General Provider Information

NPI Number	:	1366727851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SALLY L CHIA PHARMD

Provider Business Mailing Address
First Line	:	8536 DEL WEBB BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-8676
Country	:	US
Telephone Number	:	702-476-5888
Fax Number	:

Provider Business Practice Location Address
First Line	:	8536 DEL WEBB BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-8676
Country	:	US
Telephone Number	:	702-476-5888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2011
Last Update Date	:	07/28/2022

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Directions to “ SALLY L CHIA PHARMD” Practice Location

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