MEDICARE: KARLA CUSTODIO

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	17582	NV

General Provider Information

NPI Number	:	1568747269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARLA CUSTODIO

Provider Business Mailing Address
First Line	:	112 RED TEE LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5262
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	451 S DECATUR BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-2805
Country	:	US
Telephone Number	:	702-870-1626
Fax Number	:

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

Provider Enumeration Date	:	10/13/2011
Last Update Date	:	10/13/2011

Similar Medicare Providers

1275548240 — WALGREEN CO
Practice Location Address:

451 S DECATUR BLVD
LAS VEGAS, NV
89107-2805

Practice Phone: 702-870-1626
Practice Fax:

1831472182 — DR. THUTHAPORN WONGSE-SANIT PHARM D
Practice Location Address:

451 S DECATUR BLVD
LAS VEGAS, NV
89107-2805

Practice Phone: 702-870-1626
Practice Fax:

1902181803 — TRANG NGUYEN RPH
Practice Location Address:

451 S DECATUR BLVD
LAS VEGAS, NV
89107-2805

Practice Phone: 702-870-1620
Practice Fax: 702-870-4023

1386596971 — HANDS THAT HELP WELLNESS CENTER, LLC
Practice Location Address:

408 VILLA ESPANA WAY
NORTH LAS VEGAS, NV
89031-2805

Practice Phone: 702-972-7847
Practice Fax:

1215995881 — DR. SINH H TRINH DDS
Practice Location Address:

2805 CENTENNIAL PKWY SUIT 105
NORTH LAS VEGAS, NV
89031

Practice Phone: 714-468-3476
Practice Fax:

1629139696 — MR. MARLON LEON BLANKS LICENSE CLINICAL SOC
Practice Location Address:

6655 W SAHARA AVE STE A112
LAS VEGAS, NV
89146-2805

Practice Phone: 702-462-1813
Practice Fax:

Directions to “ KARLA CUSTODIO ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.