IndividualActive
Collin Mould
NPI 1053995902 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Las Vegas, NV
Provider details
- NPI number
- 1053995902
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 20726 (NV)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
5610 Centennial Center Blvd
Las Vegas, NV 89149-7104
Phone: (702) 395-3282
Approximate (ZIP-level) locationGet directions
Mailing address
6525 Sierra Diablo Ave
Las Vegas, NV 89130-1869
Registry dates
- Enumerated
- 2021-05-07
- Last updated
- 2021-05-07
- Certified
- 2021-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.