Luke Tysdal, PharmD
Pharmacist in Las Vegas, NV. Individual provider (NPI-1).
NPI number1508166331
StatusActive
Last updated in NPPESOct 26, 2010
Details
- NPI
- 1508166331
- Entity type
- Individual (NPI-1)
- Name
- Luke Tysdal
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2010
- Last updated
- Oct 26, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 16055 | NV | Yes |
Practice location
820 S Rampart BlvdLas Vegas, NV 89145-4825
Phone 702-946-5333 · Fax 702-946-5339
Mailing address
820 S Rampart BlvdLas Vegas, NV 89145-4825
Phone 702-946-5333 · Fax 702-946-5339
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