Provider Demographics
NPI:1932522646
Name:UNIVERSITY OF NEVADA SCHOOL OF MEDICINE PHARMACY, INC.
Entity type:Organization
Organization Name:UNIVERSITY OF NEVADA SCHOOL OF MEDICINE PHARMACY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REGENTS PROFESSOR
Authorized Official - Prefix:DR
Authorized Official - First Name:IAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUXTON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:775-784-4800
Mailing Address - Street 1:1664 N VIRGINA ST MS 0318
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:86557-0318
Mailing Address - Country:US
Mailing Address - Phone:775-784-1348
Mailing Address - Fax:775-784-1620
Practice Address - Street 1:1701 W CHARLESTON BLVD STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2319
Practice Address - Country:US
Practice Address - Phone:702-992-6906
Practice Address - Fax:702-992-6908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-31
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy