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NPI Code Detail

MEDICARE: MRS. CYNTHIA MCDERMOTT

MEDICARE: MRS. CYNTHIA MCDERMOTT
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
1183500000XPharmacist31525NC
2183500000XPharmacist14408NV

General Provider Information

NPI Number : 1972887834
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CYNTHIA MCDERMOTT
Provider Business Mailing Address
First Line : 4912 MOUNTAIN PEPPER DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-1779
Country : US
Telephone Number : 702-354-8049
Fax Number :
Provider Business Practice Location Address
First Line : 6151 W LAKE MEAD BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-2660
Country : US
Telephone Number : 702-631-1962
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2011
Last Update Date : 08/11/2022

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Directions to “ MRS. CYNTHIA MCDERMOTT ” Practice Location

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