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NPI Code Detail

MEDICARE: ANDREA CELINA ATIENZA PHARMD, RPH

MEDICARE: ANDREA CELINA ATIENZA PHARMD, RPH
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
1183500000XPharmacist18740NV

General Provider Information

NPI Number : 1528510922
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA CELINA ATIENZA PHARMD, RPH
Provider Business Mailing Address
First Line : 3000 VISTA BLVD
Second Line :
City : SPARKS
State : NV
Zip : 89436-6702
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3000 VISTA BLVD
Second Line :
City : SPARKS
State : NV
Zip : 89436-6702
Country : US
Telephone Number : 775-359-7044
Fax Number : 774-359-7049
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2016
Last Update Date : 11/01/2016

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Directions to “ ANDREA CELINA ATIENZA PHARMD, RPH” Practice Location

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