MEDICARE: MR. NOEL M CASTILLO 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
1	183500000X	Pharmacist	13038	NV
2	183500000X	Pharmacist		IL

General Provider Information

NPI Number	:	1679763981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NOEL M CASTILLO RPH

Provider Business Mailing Address
First Line	:	7321 FALVO AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-3240
Country	:	US
Telephone Number	:	702-561-2205
Fax Number	:

Provider Business Practice Location Address
First Line	:	7321 FALVO AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-3240
Country	:	US
Telephone Number	:	702-561-2205
Fax Number	:

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

Provider Enumeration Date	:	08/01/2007
Last Update Date	:	10/27/2007

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