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NPI Code Detail

MEDICARE: PIETER DE BEER

MEDICARE: PIETER DE BEER
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
1183500000XPharmacist15687NV

General Provider Information

NPI Number : 1396020491
Entity Type Code : Individual
Provider Name (Legal Business Name) : PIETER DE BEER
Provider Business Mailing Address
First Line : 3325 MAVERICK ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-4801
Country : US
Telephone Number : 702-326-1321
Fax Number :
Provider Business Practice Location Address
First Line : 4470 E BONANZA RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89110-6330
Country : US
Telephone Number : 702-531-8006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2011
Last Update Date : 10/20/2011

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Directions to “ PIETER DE BEER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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