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NPI Code Detail

MEDICARE: DR. TRASHELLE CHAUNTEY MIRO PHARMD

MEDICARE: DR. TRASHELLE CHAUNTEY MIRO 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
1183500000XPharmacist19605NV

General Provider Information

NPI Number : 1275052656
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TRASHELLE CHAUNTEY MIRO PHARMD
Provider Business Mailing Address
First Line : 5011 E SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89142-2911
Country : US
Telephone Number : 702-432-5633
Fax Number :
Provider Business Practice Location Address
First Line : 5011 E SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89142-2911
Country : US
Telephone Number : 702-432-5633
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2017
Last Update Date : 09/16/2017

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Directions to “ DR. TRASHELLE CHAUNTEY MIRO PHARMD” Practice Location

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