Provider Demographics
NPI:1760141469
Name:BERNARTE, MILES (PHARMD)
Entity Type:Individual
Prefix:
First Name:MILES
Middle Name:
Last Name:BERNARTE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8906 PHILLIP GREAT CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89139-7612
Mailing Address - Country:US
Mailing Address - Phone:702-506-7254
Mailing Address - Fax:
Practice Address - Street 1:10600 SOUTHERN HIGHLANDS PKWY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89141-4368
Practice Address - Country:US
Practice Address - Phone:702-254-0823
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-10
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV19363183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist