Organization
SIERRA SPECIALTY PHARMACY LLC
Active
Other names
Sierra Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRANT SKANSON (PRESIDENT)
(775) 853-3500
Entity
Organization
Contact information
Practice address
9738 S VIRGINIA ST STE F, RENO, NV 89511-4811
(775) 853-3502
Mailing address
9738 S VIRGINIA ST STE F, RENO, NV 89511-4811
(775) 853-3502
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PH03108
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376960666
—
NV
01
—
2144777
PK
—
Enumeration date
03/25/2014
Last updated
10/21/2014
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