Individual provider · NPI-1
Bon Riwilin Antiporta Albana, PharmD
Pharmacist · Henderson, NV
NPI number1740044262
StatusActive
Last updated in NPPESFeb 6, 2024
Details
- NPI
- 1740044262
- Entity type
- Individual (NPI-1)
- Name
- Bon Riwilin Antiporta Albana
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 6, 2024
- Certification date
- Feb 6, 2024
- Last updated
- Feb 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 24057 | NV | Yes |
Practice location
2667 Windmill PkwyHenderson, NV 89074-3384
Phone 702-361-1157 · Fax 702-361-0642
Mailing address
6178 Meadowgrass LnLas Vegas, NV 89103-1118
Phone 702-882-5651
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