Individual
DR. JASON PENROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
5260 W 7TH ST, RENO, NV 89523
(775) 624-2080
Mailing address
3495 SAN JUAN DR, RENO, NV 89509-5042
(775) 813-6953
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16876
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16876
NEVADA STATE BOARD OF PHARMACY
NV
Enumeration date
10/03/2017
Last updated
08/08/2018
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