Individual
MR. TRENT KJAR DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
700 NO. SPRING ST., CALIENTE, NV 89008
(775) 726-3121
(775) 726-3666
Mailing address
PO BOX 1010, CALIENTE, NV 89008-1010
(775) 726-8058
(775) 726-3666
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15165
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15165
STATE PHARMACIST LICENSE
NV
Enumeration date
07/13/2017
Last updated
11/09/2022
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