MEDICARE: JOYCE CABRERA SUAREZ

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	3336C0003X	Community/Retail Pharmacy	17102	NV

General Provider Information

NPI Number	:	1982207890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOYCE CABRERA SUAREZ

Provider Business Mailing Address
First Line	:	5985 W TROPICANA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-4814
Country	:	US
Telephone Number	:	702-252-0031
Fax Number	:	702-252-0456

Provider Business Practice Location Address
First Line	:	5985 W TROPICANA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-4814
Country	:	US
Telephone Number	:	702-252-0031
Fax Number	:	702-252-0456

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

Provider Enumeration Date	:	11/21/2020
Last Update Date	:	11/21/2020

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Directions to “ JOYCE CABRERA SUAREZ ” Practice Location

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