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NPI Code Detail

MEDICARE: EMELYN B ESPANOL

MEDICARE:   EMELYN B ESPANOL
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
1183500000XPharmacist11792NV

General Provider Information

NPI Number : 1952869414
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMELYN B ESPANOL
Provider Business Mailing Address
First Line : 3010 W ANN RD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-7259
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3010 W ANN RD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-7259
Country : US
Telephone Number : 702-656-3425
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2019
Last Update Date : 03/04/2019

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Directions to “ EMELYN B ESPANOL ” Practice Location

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