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NPI Code Detail

MEDICARE: SHELLEY VERMA

MEDICARE:   SHELLEY  VERMA
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
1183500000XPharmacist17761NV

General Provider Information

NPI Number : 1871875583
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELLEY VERMA
Provider Business Mailing Address
First Line : 2280 N LAS VEGAS BLVD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-5803
Country : US
Telephone Number : 702-649-1415
Fax Number : 702-649-1447
Provider Business Practice Location Address
First Line : 2280 N LAS VEGAS BLVD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-5803
Country : US
Telephone Number : 702-649-1415
Fax Number : 702-649-1447
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2011
Last Update Date : 09/20/2011

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Directions to “ SHELLEY VERMA ” Practice Location

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