MEDICARE: STAN WILSON SADLER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PH01783	NV

General Provider Information

NPI Number	:	1003116500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STAN WILSON SADLER

Provider Business Mailing Address
First Line	:	6450 SKY POINTE DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-4058
Country	:	US
Telephone Number	:	702-515-1821
Fax Number	:	702-515-1839

Provider Business Practice Location Address
First Line	:	6450 SKY POINTE DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-4058
Country	:	US
Telephone Number	:	702-515-1821
Fax Number	:	702-515-1839

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2010
Last Update Date	:	05/03/2026

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Directions to “ STAN WILSON SADLER ” Practice Location

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