Tanasorn Fowler, PHARMD | |
7599 W Lake Mead Blvd, Las Vegas, NV 89128-0274 | |
(702) 363-4622 | |
Not Available |
Full Name | Tanasorn Fowler |
---|---|
Gender | Female |
Speciality | Pharmacist |
Location | 7599 W Lake Mead Blvd, Las Vegas, Nevada |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417626557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
183500000X | Pharmacist | 16568 (Nevada) | Primary |
Mailing Address | Practice Location Address |
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Tanasorn Fowler, PHARMD 6080 W Gowan Rd, Las Vegas, NV 89108-4816 Ph: (702) 539-0980 | Tanasorn Fowler, PHARMD 7599 W Lake Mead Blvd, Las Vegas, NV 89128-0274 Ph: (702) 363-4622 |
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