institution
Charles H. Tadlock, M.d. Ltd
Non-Pharmacy Dispensing Site in Las Vegas, Nevada
NPI 1962720078

Charles H. Tadlock, M.d. Ltd is a Non-Pharmacy Dispensing Site based in Los Angeles, NV. Charles H. Tadlock, M.d. Ltd practices in Las Vegas, NV. The NPI Number for Charles H. Tadlock, M.d. Ltd is 1962720078 and holds a License No. (Nevada).

The current practice location address for Charles H. Tadlock, M.d. Ltd is 6725 S Eastern Ave Ste 6, Las Vegas, NV and can be reached out via phone at 702-474-0200. You can also correspond with Charles H. Tadlock, M.d. Ltd through the mailing address at 2980 N BEVERLY GLEN CIR, LOS ANGELES, CA - 90077-1726 (mailing address contact number: 310-474-9809).

Location: 6725 S Eastern Ave Ste 6, Las Vegas, NV, 90077-1726
institution
Provider Profile Details
NPI Number
1962720078
Provider Name
Charles H. Tadlock, M.d. Ltd
Credential
Provider Entity Type
Organization
Address
6725 S Eastern Ave Ste 6, Las Vegas, NV, 90077-1726
Phone Number
702-474-0200
Fax Number
Provider Enumeration Date
05/13/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2019927 05 NV
institution
Provider Business Practice Location Address Details
Address
6725 S Eastern Ave Ste 6
City
State
Zip
89119-3949
Phone Number
702-474-0200
Fax Number
person
Provider Business Mailing Address Details
Address
6725 S Eastern Ave Ste 6
City
State
Zip
89119-3949
Phone Number
702-474-0200
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
License No.
()
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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