MEDICARE: MANISH SAIJA

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	18626	NV

General Provider Information

NPI Number	:	1609202233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANISH SAIJA

Provider Business Mailing Address
First Line	:	3216 CARAVELLE CT
Second Line	:
City	:	WALNUT CREEK
State	:	CA
Zip	:	94598-3931
Country	:	US
Telephone Number	:	925-408-4672
Fax Number	:

Provider Business Practice Location Address
First Line	:	3210 N TENAYA WAY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-6239
Country	:	US
Telephone Number	:	702-396-7840
Fax Number	:

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

Provider Enumeration Date	:	09/14/2013
Last Update Date	:	09/14/2013

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Directions to “ MANISH SAIJA ” Practice Location

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