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NPI Code Detail

MEDICARE: REBECCA RICHARDS

MEDICARE: REBECCA RICHARDS
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
1183500000XPharmacist14377NV

General Provider Information

NPI Number : 1982974010
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA RICHARDS
Provider Business Mailing Address
First Line : 4912 FLOWER DANCE CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89131-1030
Country : US
Telephone Number : 702-869-1143
Fax Number :
Provider Business Practice Location Address
First Line : 1445 W CRAIG RD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-0211
Country : US
Telephone Number : 702-649-3113
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2012
Last Update Date : 12/28/2022

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Directions to “ REBECCA RICHARDS ” Practice Location

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