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NPI Code Detail

MEDICARE: EARLMATTHEW PEREGRINO RPH, PHARMD

MEDICARE:   EARLMATTHEW  PEREGRINO  RPH, 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
1183500000XPharmacist23299NV

General Provider Information

NPI Number : 1821709791
Entity Type Code : Individual
Provider Name (Legal Business Name) : EARLMATTHEW PEREGRINO RPH, PHARMD
Provider Business Mailing Address
First Line : 4845 S FORT APACHE RD STE A
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-7956
Country : US
Telephone Number : 775-762-2359
Fax Number :
Provider Business Practice Location Address
First Line : 4845 S FORT APACHE RD STE A
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-7956
Country : US
Telephone Number : 702-992-3668
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2022
Last Update Date : 09/17/2024

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Directions to “ EARLMATTHEW PEREGRINO RPH, PHARMD” Practice Location

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