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NPI Code Detail

MEDICARE: MICHAEL NATALE PHARMD

MEDICARE: MICHAEL NATALE 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
1183500000XPharmacist15849NV

General Provider Information

NPI Number : 1659655983
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL NATALE PHARMD
Provider Business Mailing Address
First Line : 4930 BLUE DIAMOND RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89139-7604
Country : US
Telephone Number : 702-260-9695
Fax Number :
Provider Business Practice Location Address
First Line : 4930 BLUE DIAMOND RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89139-7604
Country : US
Telephone Number : 702-260-9695
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2011
Last Update Date : 10/05/2011

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Directions to “ MICHAEL NATALE PHARMD” Practice Location

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