Miriam Fomen Fanga
Miriam Fomen Fanga is a Community/Retail Pharmacy in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.
- Licensed in
- NV
- In the registry since
- 2018
Practice location Address checks out
4895 Boulder Hwy # 100Las Vegas, NV 89121-3086
Phone: (702) 898-5264
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence 19831 (NV) |
|---|
Record details
| NPI number | 1063919991 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 8, 2018 |
| Last updated in NPPES | June 16, 2018 |
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