Sierra Pharmacy

LBN: Sierra Compounding Pharmacy
Sierra Pharmacy is an health care organization with primary practice located at 9738 S Virginia St Ste G , Reno NV 89511-4811. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Sierra Compounding Pharmacy can be contacted via phone (775) 853-3500, or through Vasenden, David via phone (775) 853-3500.

Contact Information

Primary practice address
9738 S Virginia St Ste G Reno NV 89511-4811
Fax: (775) 853-3501
Website:
Authorized official contact:
Name: Vasenden, David

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHC02377 Nevada
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1912155094
LBN Legal business name Sierra Compounding Pharmacy
DBA Doing business as Sierra Pharmacy
Authorized official Vasenden, David
Entity Organization
Organization subpart 1 No
Enumeration date Sep 3rd, 2008
Last updated Nov 14th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912155094 NPPES
Other 2117749 PK
MEDICAID 1912155094 PK

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