IndividualActive
Derick Bledsoe
NPI 1659901387 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Las Vegas, NV
Provider details
- NPI number
- 1659901387
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 14317 (NV)
Practice location
2540 S Maryland Pkwy
Las Vegas, NV 89109-1627
Phone: (702) 791-0517
Fax: (702) 732-7899
Mailing address
2540 S Maryland Pkwy
Las Vegas, NV 89109-1627
Registry dates
- Enumerated
- 2020-01-22
- Last updated
- 2020-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.