Individual provider · NPI-1

Dominic Acosta, PharmD

Pharmacist, Infectious Diseases · Henderson, NV

NPI number1003661695
StatusActive
Last updated in NPPESApr 18, 2024

Details

NPI
1003661695
Entity type
Individual (NPI-1)
Name
Dominic Acosta
Credential
PharmD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 18, 2024
Certification date
Apr 18, 2024
Last updated
Apr 18, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1835I0206X Pharmacist, Infectious Diseases23812NVYes

Practice location

3001 Saint Rose Pkwy
Henderson, NV 89052-3839

Phone 702-616-5000

Mailing address

1350 Kelso Dunes Ave Apt 721
Henderson, NV 89014-7849

Phone 505-730-4474

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