Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRIAM FOMEN FANGA
Active Sole ProprietorMIRIAM FOMEN FANGA is a Long-Term Care Pharmacy healthcare provider located in LAS VEGAS, Nevada. NPI 1063919991 is currently active in the NPPES registry. Verify at CMS.
Long-Term Care Pharmacy · LAS VEGAS, NV
Registration Details
- NPI Number
- 1063919991
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 8, 2018 (8.317165419354 yrs)
- Last Updated
- Jun 16, 2018
- License
-
19831 (NV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4895 BOULDER HWY # 100LAS VEGAS, NV, 891213086Browse NV providers · Browse ZIP 89121
- Phone
- 7028985264
- Primary Specialty
-
Long-Term Care Pharmacy
3336C0003X
Other Long-Term Care Pharmacy Providers in LAS VEGAS, NV
| Name | Credential | NPI |
|---|---|---|
| MR. ENRIQUE SOLIS | PHARM. D. | 1265726038 |
| JOYCE CABRERA SUAREZ | — | 1982207890 |
| YEON-KYUNG CHUNG | — | 1063016715 |
| CORD BLANCHARD | — | 1194397026 |
| DR. HITENDRA CHOKSHI | — | 1104591528 |
| TATIANA V MELNIK | — | 1639044456 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.