| Provider / Organization | NPI | Date Certified |
|---|---|---|
| IVY LEUNG | 1598487373 | 2022-09-16 |
Ivy Leung is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1598487373. Registration indicates Ivy Leung is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Ivy Leung |
| Practice Office Address | 4490 PARADISE RD LAS VEGAS, NV US |
| Practice Office Telephone | 7026967126 |
| Mailing Address | 4490 PARADISE RD LAS VEGAS, NV 891696573 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 4490 Paradise Rd | Las Vegas, NV 891696573 | 7026967126 |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 20326
NV |