Healthcare Provider Details

I. General information

NPI: 1265368724
Provider Name (Legal Business Name): SUSAN MONAHAN-WEST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 W CHARLESTON BLVD STE 201AANDB
LAS VEGAS NV
89102-2149
US

IV. Provider business mailing address

6720 PLACID ST
LAS VEGAS NV
89119-3541
US

V. Phone/Fax

Practice location:
  • Phone: 702-954-7585
  • Fax:
Mailing address:
  • Phone: 702-954-7585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number16735
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: