MEDICARE: NAZOKAT NIGMATOVA 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	20601	NV

General Provider Information

NPI Number	:	1336753524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAZOKAT NIGMATOVA PHARMD

Provider Business Mailing Address
First Line	:	10391 LORCA MAJOR ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-9024
Country	:	US
Telephone Number	:	929-844-9688
Fax Number	:

Provider Business Practice Location Address
First Line	:	10391 LORCA MAJOR ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-9024
Country	:	US
Telephone Number	:	929-844-9688
Fax Number	:

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

Provider Enumeration Date	:	09/04/2020
Last Update Date	:	02/12/2024

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