Provider Demographics
NPI:1336753524
Name:NIGMATOVA, NAZOKAT (PHARMD)
Entity Type:Individual
Prefix:
First Name:NAZOKAT
Middle Name:
Last Name:NIGMATOVA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10391 LORCA MAJOR ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89141-9024
Mailing Address - Country:US
Mailing Address - Phone:929-844-9688
Mailing Address - Fax:
Practice Address - Street 1:10391 LORCA MAJOR ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89141-9024
Practice Address - Country:US
Practice Address - Phone:929-844-9688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-04
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV20601183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist