Healthcare Provider Details

I. General information

NPI: 1245948868
Provider Name (Legal Business Name): VERONICA HEKTER RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VERONICA MOUBAREK RPH

II. Dates (important events)

Enumeration Date: 11/11/2022
Last Update Date: 11/11/2022
Certification Date: 11/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6555 N DECATUR BLVD
LAS VEGAS NV
89131-2796
US

IV. Provider business mailing address

9242 WITTIG AVE
LAS VEGAS NV
89149-0711
US

V. Phone/Fax

Practice location:
  • Phone: 702-883-3980
  • Fax: 702-415-2325
Mailing address:
  • Phone: 702-768-1375
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number23288
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: