Most Relevant Information
Provider Data
| NPI Number: | 1003568742 |
| Provider Name: | JOMAR MENDOZA |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 19364 |
Most Important Dates
| Enumeration Date: | 01/24/2022 |
| Last Updated: | 01/24/2022 |
Provider Practice Location
1551 W SUNSET RD
HENDERSON
NV
890146636
Practice Location Phone/Fax
| Phone: | 7024336536 |
| Fax: |
Provider Mailing Location
1551 W SUNSET RD
HENDERSON
NV
890146636
Provider Mailing Phone/Fax
| Phone: | 7024336536 |
| Fax: |