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Enrique Medina
NPI 1194484857 · on the registry since 2021
Practice
- Address
- 3602 E Bonanza Rd
Las Vegas, NV 89110 - Phone
- (702) 438-1091
- Fax
- (702) 438-0742
- Organisation at this address
- Smiths Food & Drug Centers Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- NV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada