IndividualActive
Bruce Thielke, PHARMD
NPI 1689929234 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Las Vegas, NV
Provider details
- NPI number
- 1689929234
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 14061 (NV)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
11752 San Rosarita Ct
Las Vegas, NV 89138-6022
Phone: (702) 606-2071
Approximate (ZIP-level) locationGet directions
Mailing address
11752 San Rosarita Ct
Las Vegas, NV 89138-6022
Registry dates
- Enumerated
- 2012-07-19
- Last updated
- 2012-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.