Healthcare Provider Details

I. General information

NPI: 1881324341
Provider Name (Legal Business Name): TINA WENHUI RUAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2022
Last Update Date: 07/19/2022
Certification Date: 07/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1075 N HILLS BLVD
RENO NV
89506-5732
US

IV. Provider business mailing address

695 W 3RD ST APT 329
RENO NV
89503-5253
US

V. Phone/Fax

Practice location:
  • Phone: 775-677-8777
  • Fax:
Mailing address:
  • Phone: 626-254-3209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number22040
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: