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NPI Code Detail

MEDICARE: DR. JASON CRECCO PHARMD

MEDICARE: DR. JASON CRECCO 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
1183500000XPharmacist16805NV

General Provider Information

NPI Number : 1427469204
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASON CRECCO PHARMD
Provider Business Mailing Address
First Line : 7921 ORCHARD PORT AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89131-3692
Country : US
Telephone Number : 702-277-7697
Fax Number :
Provider Business Practice Location Address
First Line : 8410 FARM RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89131-8158
Country : US
Telephone Number : 702-658-6669
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2014
Last Update Date : 05/14/2014

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Directions to “ DR. JASON CRECCO PHARMD” Practice Location

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