Most Relevant Information
Provider Data
| NPI Number: | 1003695420 |
| Provider Name: | DAVID KOGAN |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 19727 |
Most Important Dates
| Enumeration Date: | 09/25/2023 |
| Last Updated: | 09/25/2023 |
Provider Practice Location
10312 TOWER RIDGE AVE
LAS VEGAS
NV
891298124
Practice Location Phone/Fax
| Phone: | 7023253120 |
| Fax: |
Provider Mailing Location
10312 TOWER RIDGE AVE
LAS VEGAS
NV
891298124
Provider Mailing Phone/Fax
| Phone: | 7023253120 |
| Fax: |