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NPI Code Detail

MEDICARE: IVY LEUNG

MEDICARE:   IVY  LEUNG
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
1183500000XPharmacist20326NV

General Provider Information

NPI Number : 1598487373
Entity Type Code : Individual
Provider Name (Legal Business Name) : IVY LEUNG
Provider Business Mailing Address
First Line : 4490 PARADISE RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-6573
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4490 PARADISE RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-6573
Country : US
Telephone Number : 702-696-7126
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2022
Last Update Date : 09/16/2022

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Directions to “ IVY LEUNG ” Practice Location

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