Jeffrey Cruz
Pharmacist in Las Vegas, NV. Individual provider (NPI-1).
NPI number1114249232
StatusActive
Last updated in NPPESFeb 16, 2010
Details
- NPI
- 1114249232
- Entity type
- Individual (NPI-1)
- Name
- Jeffrey Cruz
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 16, 2010
- Last updated
- Feb 16, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 17179 | NV | Yes |
Practice location
3760 E Sunset RdLas Vegas, NV 89120-3233
Phone 702-458-4004
Mailing address
3760 E Sunset RdLas Vegas, NV 89120-3233
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