MEDICARE: UNIVERSITY OF NEVADA SCHOOL OF MEDICINE PHARMACY, INC.

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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1326462102
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF NEVADA SCHOOL OF MEDICINE PHARMACY, INC.

Provider Business Mailing Address
First Line	:	DEPARTMENT OF PHARMACOLOGY 0318
Second Line	:	MANVILLE 1
City	:	RENO
State	:	NV
Zip	:	89557-0001
Country	:	US
Telephone Number	:	702-784-1348
Fax Number	:	775-784-1620

Provider Business Practice Location Address
First Line	:	1701 W CHARLESTON BLVD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2319
Country	:	US
Telephone Number	:	702-992-6906
Fax Number	:	702-992-6908

Authorized Official
Title or Position	:	CHAIR
Name	:	DR. IAIN BUXTON
Credential	:	PHARMD
Telephone Number	:	775-848-2128

Provider Enumeration Date	:	02/13/2014
Last Update Date	:	12/05/2014

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