Organization
RENOWN REGIONAL MEDICAL CENTER
Active
Other names
Renown Pharmacy - Locust
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM PORATH PHARMD, BCACP, BCPS- (VP, PHARMACY)
(775) 982-6838
Entity
Organization
Contact information
Practice address
21 LOCUST ST, RENO, NV 89502-1316
(775) 982-5281
(775) 982-5250
Mailing address
21 LOCUST ST, RENO, NV 89502-1316
(775) 982-5281
(775) 982-5250
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
PH00839
NV
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2056839
PK
—
05
—
2816185
—
NV
Enumeration date
10/26/2006
Last updated
08/24/2022
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