MEDICARE: DR. JESSICA HUEY 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
1	183500000X	Pharmacist	18577	NV

General Provider Information

NPI Number	:	1982208583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JESSICA HUEY PHARMD

Provider Business Mailing Address
First Line	:	3950 W LAKE MEAD BLVD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-4895
Country	:	US
Telephone Number	:	702-631-6806
Fax Number	:	702-631-7965

Provider Business Practice Location Address
First Line	:	3950 W LAKE MEAD BLVD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-4895
Country	:	US
Telephone Number	:	702-631-6806
Fax Number	:	702-631-7965

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

Provider Enumeration Date	:	11/24/2020
Last Update Date	:	11/24/2020

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