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NPI Code Detail

MEDICARE: EMILY KITAMURA MANASEWITSCH RPH

MEDICARE: EMILY KITAMURA MANASEWITSCH RPH
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
1183500000XPharmacist15807NV
2183500000XPharmacist44341CA

General Provider Information

NPI Number : 1982904942
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY KITAMURA MANASEWITSCH RPH
Provider Business Mailing Address
First Line : 475 E WINDMILL LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-1808
Country : US
Telephone Number : 702-896-7414
Fax Number : 702-896-4614
Provider Business Practice Location Address
First Line : 475 E WINDMILL LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-1808
Country : US
Telephone Number : 702-896-7414
Fax Number : 702-896-4614
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2010
Last Update Date : 10/25/2010

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Directions to “ EMILY KITAMURA MANASEWITSCH RPH” Practice Location

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