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General NPI Number Information
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NPI Number | 1689390932
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Entity Type | Organization
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Legal Business Name | PROFESSIONALPHARMACISTLLC
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Dates
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Enumeration Date | 10/18/2022
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 6170 W LAKE MEAD BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89108-2661
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Country | US
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Telephone | 702-912-1101
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Fax |
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Provider Business Mailing Address
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Address Line | 6170 W LAKE MEAD BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89108-2661
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Country | US
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Telephone | 702-912-1101
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Fax | 702-912-1598
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Authorized Official
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Title or Position | OWNER
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Name | MUHAMMAD FAISAL CHAUDHRY
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Credential |
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Telephone | 516-476-7482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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