Individual provider · Type 1 NPI

Enrique Miranda Medina

Pharmacist · Las Vegas, NV

NPI number 1194484857 Active

Practice location

3602 E Bonanza Rd
Las Vegas, NV 89110-2161

Call (702) 438-1091 Map

Fax (702) 438-0742

Mailing address

3328 Red Lodge Dr
Las Vegas, NV 89129-7533

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X10526 (NV)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1194484857

Enrique Miranda Medina's National Provider Identifier is 1194484857, issued on Dec 9, 2021. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Las Vegas, NV. The record was last updated on Dec 9, 2021.