Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PETER PONS BAUTISTA, PHARMD, MBA
Active Sole ProprietorInstitutional Pharmacy · LAS VEGAS, NV
Registration Details
- NPI Number
- 1578055026
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 31, 2018 (7.8936751647557 yrs)
- Last Updated
- May 31, 2018
- License
-
19662 (NV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
620 SHADOW LNPHARMACYLAS VEGAS, NV, 891064194Browse NV providers · Browse ZIP 89106
- Phone
- 7023888479
- Primary Specialty
-
Institutional Pharmacy
3336I0012X
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.