Most Relevant Information
Provider Data
| NPI Number: | 1003661695 |
| Provider Name: | DOMINIC ACOSTA PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1835I0206X |
| Specialty: | |
| License Number: | 23812 |
Most Important Dates
| Enumeration Date: | 04/18/2024 |
| Last Updated: | 04/18/2024 |
Provider Practice Location
3001 SAINT ROSE PKWY
HENDERSON
NV
890523839
Practice Location Phone/Fax
| Phone: | 7026165000 |
| Fax: |
Provider Mailing Location
1350 KELSO DUNES AVE APT 721
HENDERSON
NV
890147849
Provider Mailing Phone/Fax
| Phone: | 5057304474 |
| Fax: |