Organization
SIERRA COMPOUNDING PHARMACY
Active
Other names
Sierra Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID VASENDEN (OWNER)
(775) 853-3500
Entity
Organization
Contact information
Practice address
9738 S VIRGINIA ST STE G, RENO, NV 89511-4811
(775) 853-3500
(775) 853-3501
Mailing address
9738 S VIRGINIA ST STE G, RENO, NV 89511-4811
(775) 853-3500
(775) 853-3501
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHC02377
NV
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912155094
—
NV
01
—
2117749
PK
—
Enumeration date
09/03/2008
Last updated
11/14/2016
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