Most Relevant Information
Provider Data
| NPI Number: | 1003417361 |
| Provider Name: | DEFAF ALSMAEL |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 20248 |
Most Important Dates
| Enumeration Date: | 11/03/2020 |
| Last Updated: | 11/03/2020 |
Provider Practice Location
6570 E LAKE MEAD BLVD
LAS VEGAS
NV
891567044
Practice Location Phone/Fax
| Phone: | 7024376441 |
| Fax: | 7024373590 |
Provider Mailing Location
8417 INDIGO SKY AVE
LAS VEGAS
NV
891292193
Provider Mailing Phone/Fax
| Phone: | 7026286768 |
| Fax: |