Jason Wang
Pharmacist in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1164026688
StatusActive
Last updated in NPPESFeb 18, 2022
Details
- NPI
- 1164026688
- Entity type
- Individual (NPI-1)
- Name
- Jason Wang
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 25, 2020
- Certification date
- Feb 18, 2022
- Last updated
- Feb 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 19372 | NV | Yes |
Practice location
6900 N Pecos RdNorth Las Vegas, NV 89086-4400
Phone 702-791-9000
Mailing address
4100 Blue Diamond RdLas Vegas, NV 89139-7717
Phone 702-266-8050 · Fax 702-560-5761
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