MEDICARE: CHRISTOPHER SANA PHARMD

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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	20778	NV

General Provider Information

NPI Number	:	1598340341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER SANA PHARMD

Provider Business Mailing Address
First Line	:	4702 SAN PALO WAY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-5644
Country	:	US
Telephone Number	:	702-376-7075
Fax Number	:

Provider Business Practice Location Address
First Line	:	5985 W TROPICANA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-4814
Country	:	US
Telephone Number	:	702-252-0031
Fax Number	:

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

Provider Enumeration Date	:	03/12/2021
Last Update Date	:	03/12/2021

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