IndividualActive
Angelo Boss, PHARMD
NPI 1962040956 · Pharmacist · Nellis Afb, NV
Provider details
- NPI number
- 1962040956
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 28392 (NC)
Practice location
4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600
Phone: (702) 653-3202
Mailing address
4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600
Registry dates
- Enumerated
- 2019-12-20
- Last updated
- 2021-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.