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NPI Code Detail

MEDICARE: SETH RYAN ROOT RPH

MEDICARE: SETH RYAN ROOT RPH
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
1183500000XPharmacist20577NV

General Provider Information

NPI Number : 1841892395
Entity Type Code : Individual
Provider Name (Legal Business Name) : SETH RYAN ROOT RPH
Provider Business Mailing Address
First Line : 10370 N MCCARRAN BLVD
Second Line :
City : RENO
State : NV
Zip : 89503-6848
Country : US
Telephone Number : 775-746-4809
Fax Number : 775-746-4863
Provider Business Practice Location Address
First Line : 10370 N MCCARRAN BLVD
Second Line :
City : RENO
State : NV
Zip : 89503-6848
Country : US
Telephone Number : 775-746-4809
Fax Number : 775-746-4863
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2020
Last Update Date : 11/10/2020

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Directions to “ SETH RYAN ROOT RPH” Practice Location

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