Most Relevant Information
Provider Data
| NPI Number: | 1003416231 |
| Provider Name: | ANGEL IVAN DEL REAL |
| Entity Type: | Individual |
| Taxonomy Code: | 1835P0018X |
| Specialty: | Pharmacist |
| License Number: | 19082 |
Most Important Dates
| Enumeration Date: | 10/27/2020 |
| Last Updated: | 10/27/2020 |
Provider Practice Location
1255 BARING BLVD
SPARKS
NV
894348673
Practice Location Phone/Fax
| Phone: | 7753596900 |
| Fax: |
Provider Mailing Location
1255 BARING BLVD
SPARKS
NV
894348673
Provider Mailing Phone/Fax
| Phone: | 7753596900 |
| Fax: |