MEDICARE: DR. KRISTOPHER JOHN CARVALHO RPH

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	19137	NV

General Provider Information

NPI Number	:	1962090159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTOPHER JOHN CARVALHO RPH

Provider Business Mailing Address
First Line	:	5681 BOULDER HWY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89122-7201
Country	:	US
Telephone Number	:	702-434-4933
Fax Number	:	702-434-0753

Provider Business Practice Location Address
First Line	:	5681 BOULDER HWY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89122-7201
Country	:	US
Telephone Number	:	702-434-4933
Fax Number	:	702-434-0753

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

Provider Enumeration Date	:	01/04/2021
Last Update Date	:	01/04/2021

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Directions to “ DR. KRISTOPHER JOHN CARVALHO RPH” Practice Location

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