Organization
RENOWN REGIONAL MEDICAL CENTER
Active
Other names
Renown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM PORATH PHARMD, BCACP, BCPS- (VP, PHARMACY)
(775) 982-6838
Entity
Organization
Contact information
Practice address
75 PRINGLE WAY STE 102, RENO, NV 89502-8424
(775) 982-7737
(775) 982-7738
Mailing address
75 PRINGLE WAY STE 102, RENO, NV 89502-8424
(775) 982-5281
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSAO
LEADERNET
—
Enumeration date
11/09/2020
Last updated
07/14/2021
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