Peter Pons Bautista, PHARMD, MBA Valid NPI
Individual provider · Institutional Pharmacy · Las Vegas, NV
- NPI
- 1578055026
- Type
- Individual (Type 1)
- Primary specialty
- Institutional Pharmacy (Pharmacy)
- Specialty group
- Suppliers
- Taxonomy code
- 3336I0012X
- License number
- 19662 (NV)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2018-05-31
- Last updated
- 2018-05-31
Practice location
620 Shadow Ln, Pharmacy
Las Vegas, NV 89106-4194
(702) 388-8479