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NPI Code Detail

MEDICARE: MR. STUART L BERLINER BS PHARM

MEDICARE: MR. STUART L BERLINER BS PHARM
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
1183500000XPharmacist12908NV
2183500000XPharmacist52188521701UT

General Provider Information

NPI Number : 1265716658
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STUART L BERLINER BS PHARM
Provider Business Mailing Address
First Line : 7845 W FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-4219
Country : US
Telephone Number : 702-871-1905
Fax Number : 702-871-2604
Provider Business Practice Location Address
First Line : 7845 W FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-4219
Country : US
Telephone Number : 702-871-1905
Fax Number : 702-871-2604
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2011
Last Update Date : 10/04/2011

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