IndividualActive
Michael Wyman, PHARM.D.
NPI 1760459804 · Ambulatory Care Pharmacist · Las Vegas, NV
Provider details
- NPI number
- 1760459804
- Entity type
- Individual
- Primary specialty
- Ambulatory Care PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 10813 (AZ)
Practice location
4445 S Eastern Ave Ste 2
Las Vegas, NV 89119-7851
Phone: (702) 745-3500
Fax: (702) 745-4093
Mailing address
5829 Pirate Ship Dr
North Las Vegas, NV 89031-3496
Registry dates
- Enumerated
- 2006-03-08
- Last updated
- 2025-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.