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NPI Code Detail

MEDICARE: LEILANI GALICIA

MEDICARE:   LEILANI  GALICIA
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
1183500000XPharmacist23022NV

General Provider Information

NPI Number : 1497474522
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEILANI GALICIA
Provider Business Mailing Address
First Line : 7845 W FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-4219
Country : US
Telephone Number : 702-871-1905
Fax Number :
Provider Business Practice Location Address
First Line : 7845 W FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-4219
Country : US
Telephone Number : 702-871-1905
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2022
Last Update Date : 08/23/2022

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Directions to “ LEILANI GALICIA ” Practice Location

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