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NPI Code Detail

MEDICARE: ASHLEY LATINA PHARM D

MEDICARE: ASHLEY LATINA PHARM D
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
1183500000XPharmacist17404NV

General Provider Information

NPI Number : 1437505146
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY LATINA PHARM D
Provider Business Mailing Address
First Line : 10250 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-1020
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10250 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-1020
Country : US
Telephone Number : 702-838-3591
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2016
Last Update Date : 05/11/2016

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Directions to “ ASHLEY LATINA PHARM D” Practice Location

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