NPI 1003568742

Jomar Mendoza

Practitioner Pharmacist Henderson, NV

Practice location

Address: 1551 W Sunset Rd, Henderson, NV 89014-6636
Phone: (702) 433-6536

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 19364 (NV)

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Registry record

NPI: 1003568742
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jan 2022
Record last updated: 24 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.