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NPI Code Detail

MEDICARE: UNLV STUDENT HEALTH PHARMACY

MEDICARE: UNLV STUDENT HEALTH PHARMACY
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
1261QS1000XStudent Health Clinic/CenterPH00950NV

General Provider Information

NPI Number : 1447310487
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNLV STUDENT HEALTH PHARMACY
Provider Business Mailing Address
First Line : 4505 S MARYLAND PKWY
Second Line : BOX 453020
City : LAS VEGAS
State : NV
Zip : 89154-9900
Country : US
Telephone Number : 702-895-0278
Fax Number : 702-895-0698
Provider Business Practice Location Address
First Line : 4505 S MARYLAND PKWY
Second Line : BOX 453020
City : LAS VEGAS
State : NV
Zip : 89154-9900
Country : US
Telephone Number : 702-895-0278
Fax Number : 702-895-0698
Authorized Official
Title or Position : SENIOR PHARMACIST
Name : ANNE GOLIA HARTIG
Credential : RPH
Telephone Number : 702-895-0278
Provider Enumeration Date : 12/11/2006
Last Update Date : 03/07/2023

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Directions to “UNLV STUDENT HEALTH PHARMACY ” Practice Location

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