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NPI Code Detail

MEDICARE: RHONDA A ROYAL

MEDICARE: RHONDA A ROYAL
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
1183500000XPharmacist15135NV

General Provider Information

NPI Number : 1528669488
Entity Type Code : Individual
Provider Name (Legal Business Name) : RHONDA A ROYAL
Provider Business Mailing Address
First Line : 1807 W CRAIG RD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-0217
Country : US
Telephone Number : 702-633-6532
Fax Number : 702-633-8538
Provider Business Practice Location Address
First Line : 1807 W CRAIG RD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-0217
Country : US
Telephone Number : 702-633-6532
Fax Number : 702-633-8538
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2020
Last Update Date : 11/05/2020

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Directions to “ RHONDA A ROYAL ” Practice Location

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