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1558975276
CASEY MATTHEW TIEFENTHALER
NORTH LAS VEGAS, NV
NPI
1558975276
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 84180)
Additional Taxonomies
183500000X Pharmacist
(Licence: ID P9028)
Enumeration Date
2020-09-01
Last Update Date
2021-03-24
Business Address
CASEY MATTHEW TIEFENTHALER PharmD
6900 N PECOS RD
NORTH LAS VEGAS, NV 89086-4400
Phone number: 702-372-1608
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Mailing Address
CASEY MATTHEW TIEFENTHALER PharmD
6900 N PECOS RD
NORTH LAS VEGAS, NV 89086-4400
Phone number:
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