NEVADA FAMILY PRACTICE RESIDENCE PROGRAM

LAS VEGAS, NV
NPI1083683874
Entity TypeOrganization
Authorized ContactKENNETH J. RYAN
Pharmacist/Manager
702-968-4038
Organization Subpart ?No
Primary Taxonomy333600000X Pharmacy
(Licence: NV  PH1189)
Enumeration Date2006-03-15
Last Update Date2010-10-05
Business Address
NEVADA FAMILY PRACTICE RESIDENCE PROGRAM
4000 E CHARLESTON BLVD B-130
LAS VEGAS, NV 89104-6659
Phone number: 702-968-4038
Mailing Address
NEVADA FAMILY PRACTICE RESIDENCE PROGRAM
4000 E CHARLESTON BLVD B-130
LAS VEGAS, NV 89104-6659
Phone number: 702-968-4038
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