MEDICARE: DR. TESSA CHRISTENSEN 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	19572	NV

General Provider Information

NPI Number	:	1255850616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TESSA CHRISTENSEN PHARMD

Provider Business Mailing Address
First Line	:	3728 CAESARS CIR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-2910
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3728 CAESARS CIR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-2910
Country	:	US
Telephone Number	:	435-979-5876
Fax Number	:

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

Provider Enumeration Date	:	09/15/2017
Last Update Date	:	09/15/2017

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Directions to “ DR. TESSA CHRISTENSEN PHARMD” Practice Location

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