MEDICARE: ROSEMARIEAN GRACE A. BARREDO RPH, RN

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	19206	NV

General Provider Information

NPI Number	:	1558898080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSEMARIEAN GRACE A. BARREDO RPH, RN

Provider Business Mailing Address
First Line	:	7223 SUMMIT LAKE CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-2434
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8350 BRIOVA DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2257
Country	:	US
Telephone Number	:	855-855-8754
Fax Number	:

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

Provider Enumeration Date	:	05/15/2017
Last Update Date	:	05/15/2017

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