person
Miriam Fomen Fanga
Community/Retail Pharmacy in Las Vegas, Nevada
NPI 1063919991

Miriam Fomen Fanga is a Community/Retail Pharmacy based in Las Vegas, NV and is specialized in Community/Retail Pharmacy. Miriam Fomen Fanga practices in Las Vegas, NV. The NPI Number for Miriam Fomen Fanga is 1063919991 and holds a License No. 19831 (Nevada).

The current practice location address for Miriam Fomen Fanga is 4895 Boulder Hwy # 100, Las Vegas, NV and can be reached out via phone at 702-898-5264.

Location: 4895 Boulder Hwy # 100, Las Vegas, NV, 89119-0449
person
Provider Profile Details
NPI Number
1063919991
Provider Name
Miriam Fomen Fanga
Credential
Provider Entity Type
Individual
Gender
Female
Address
4895 Boulder Hwy # 100, Las Vegas, NV, 89119-0449
Phone Number
702-898-5264
Fax Number
Provider Enumeration Date
04/08/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
19831 01 NV PHARMACIST
institution
Provider Business Practice Location Address Details
Address
4895 Boulder Hwy # 100
City
State
Zip
89121-3086
Phone Number
702-898-5264
Fax Number
person
Provider Business Mailing Address Details
Address
4895 Boulder Hwy # 100
City
State
Zip
89121-3086
Phone Number
702-898-5264
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
License No.
19831 (Nevada)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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