Healthcare Provider Details

I. General information

NPI: 1386334159
Provider Name (Legal Business Name): PAIGE SADE CAJUDOY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2023
Last Update Date: 08/04/2023
Certification Date: 08/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 N PECOS RD
NORTH LAS VEGAS NV
89086-4400
US

IV. Provider business mailing address

6783 SUMMER BIRD CT
NORTH LAS VEGAS NV
89086-1586
US

V. Phone/Fax

Practice location:
  • Phone: 702-791-9000
  • Fax:
Mailing address:
  • Phone: 808-205-2391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number10175
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: