MEDICARE: HAI MAI 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	17031	NV

General Provider Information

NPI Number	:	1457775280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAI MAI PHARMD

Provider Business Mailing Address
First Line	:	5940 LOSEE RD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-6591
Country	:	US
Telephone Number	:	702-639-9002
Fax Number	:

Provider Business Practice Location Address
First Line	:	5940 LOSEE RD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-6591
Country	:	US
Telephone Number	:	702-639-9002
Fax Number	:

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

Provider Enumeration Date	:	02/13/2014
Last Update Date	:	02/14/2014

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Directions to “ HAI MAI PHARMD” Practice Location

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