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DR. THUY THI ANTOLIN PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1801489729

Individual Registrant:
DR. THUY THI ANTOLIN PHARMD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3699 HWAY 95  BULLHEAD CITY, AZ 86442-9118 US
Tel: 928-704-5064  Fax: --

Contact information for business:
6456 WRIGLEY CT  LAS VEGAS, NV 89141-7324 US
Tel: 702-883-2155  Fax: --

Registration Information:
NPI: 1801489729
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
NV20742

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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