IndividualActive
Jiratchaya Suriyachottakul
NPI 1881205623 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · North Las Vegas, NV
Provider details
- NPI number
- 1881205623
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 20611 (NV)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
6855 Aliante Pkwy
North Las Vegas, NV 89084-3195
Phone: (702) 642-6062
Approximate (ZIP-level) locationGet directions
Mailing address
4185 Mango Tree Ct
Las Vegas, NV 89115-4125
Registry dates
- Enumerated
- 2020-08-14
- Last updated
- 2020-08-14
- Certified
- 2020-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.