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NPI Code Detail

MEDICARE: JOREN CUMMINS PHARMD

MEDICARE: JOREN CUMMINS PHARMD
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
1183500000XPharmacistPH01621NV

General Provider Information

NPI Number : 1700381654
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOREN CUMMINS PHARMD
Provider Business Mailing Address
First Line : 10250 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-1020
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10250 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-1020
Country : US
Telephone Number : 702-838-7548
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2018
Last Update Date : 03/23/2018

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Directions to “ JOREN CUMMINS PHARMD” Practice Location

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