Provider Demographics
NPI:1073838652
Name:GUNES, MURAT (RPH)
Entity Type:Individual
Prefix:
First Name:MURAT
Middle Name:
Last Name:GUNES
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 BLUE DIAMOND RD
Mailing Address - Street 2:TARGET PHARMACY
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89139-7717
Mailing Address - Country:US
Mailing Address - Phone:702-266-8050
Mailing Address - Fax:702-266-8050
Practice Address - Street 1:4100 BLUE DIAMOND RD
Practice Address - Street 2:TARGET PHARMACY
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89139-7717
Practice Address - Country:US
Practice Address - Phone:702-266-8050
Practice Address - Fax:702-266-8050
Is Sole Proprietor?:No
Enumeration Date:2010-04-07
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV17727183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist