MEDICARE: ERICA JILL FILBY 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
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	16385	NV

General Provider Information

NPI Number	:	1861644072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA JILL FILBY PHARMD

Provider Business Mailing Address
First Line	:	2851 N GREEN VALLEY PKWY
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-0402
Country	:	US
Telephone Number	:	702-435-9848
Fax Number	:	702-435-8520

Provider Business Practice Location Address
First Line	:	3131 LA CANADA ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-2578
Country	:	US
Telephone Number	:	702-636-3000
Fax Number	:

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

Provider Enumeration Date	:	10/21/2008
Last Update Date	:	09/08/2009

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