MEDICARE: MR. CESAR A GALINDO SR. SUPPLIER

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	183700000X	Pharmacy Technician	MP00099	NV
2	332B00000X	Durable Medical Equipment & Medical Supplies	2439	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659377281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CESAR A GALINDO SR. SUPPLIER

Provider Business Mailing Address
First Line	:	1924 E SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3843
Country	:	US
Telephone Number	:	702-457-5485
Fax Number	:	702-457-5516

Provider Business Practice Location Address
First Line	:	1924 E SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3843
Country	:	US
Telephone Number	:	702-457-5485
Fax Number	:	702-457-5516

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

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	09/18/2018

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Directions to “ MR. CESAR A GALINDO SR. SUPPLIER” Practice Location

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