PETER PONS BAUTISTA

LAS VEGAS, NV
NPI1578055026
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3336I0012X Pharmacy, Institutional Pharmacy
(Licence: NV  19662)
Enumeration Date2018-05-31
Last Update Date2018-05-31
Business Address
PETER PONS BAUTISTA PharmD, MBA
620 SHADOW LN PHARMACY
LAS VEGAS, NV 89106-4194
Phone number: 702-388-8479
Mailing Address
PETER PONS BAUTISTA PharmD, MBA
620 SHADOW LN PHARMACY DEPARTMENT - PB
LAS VEGAS, NV 89106-4194
Phone number: 702-388-8479