Provider Demographics
NPI:1528286341
Name:PAGANO, AMBER M (PHARMD)
Entity type:Individual
Prefix:MS
First Name:AMBER
Middle Name:M
Last Name:PAGANO
Suffix:
Gender:F
Credentials:PHARMD
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Mailing Address - Street 1:1001 RIO VISTA DR
Mailing Address - Street 2:FTHC - ATTN: AMBER M PAGANO, PHARMD
Mailing Address - City:FALLON
Mailing Address - State:NV
Mailing Address - Zip Code:89406-5463
Mailing Address - Country:US
Mailing Address - Phone:775-423-3634
Mailing Address - Fax:775-423-4405
Practice Address - Street 1:1001 RIO VISTA DR
Practice Address - Street 2:FTHC - ATTN: AMBER M PAGANO, PHARMD
Practice Address - City:FALLON
Practice Address - State:NV
Practice Address - Zip Code:89406-5463
Practice Address - Country:US
Practice Address - Phone:775-423-3634
Practice Address - Fax:775-423-4405
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPS 41996183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist