Provider Demographics
NPI:1588137368
Name:ENGLAND, DAVID EUGENE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:EUGENE
Last Name:ENGLAND
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4430 N CHIEFTAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-2680
Mailing Address - Country:US
Mailing Address - Phone:702-283-1270
Mailing Address - Fax:
Practice Address - Street 1:4430 N CHIEFTAIN ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-2680
Practice Address - Country:US
Practice Address - Phone:702-283-1270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-04
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36116183500000X
HIPH3003183500000X
IDP4069183500000X
UT144479-1701183500000X
NV7381183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist