Provider Demographics
NPI:1003448333
Name:VALENZONA-GIANAN, SHIRLEY LAUREN (RPH)
Entity Type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:LAUREN
Last Name:VALENZONA-GIANAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:SHIRLEY
Other - Middle Name:LAUREN
Other - Last Name:VALENZONA-GIANAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:SMITH'S PHARMACY #318
Mailing Address - Street 2:4965 EAST SAHARA AVENUE
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104
Mailing Address - Country:US
Mailing Address - Phone:702-431-9135
Mailing Address - Fax:702-431-4372
Practice Address - Street 1:SMITH'S PHARMACY #318
Practice Address - Street 2:4965 EAST SAHARA AVENUE
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104
Practice Address - Country:US
Practice Address - Phone:702-431-9135
Practice Address - Fax:702-431-4372
Is Sole Proprietor?:No
Enumeration Date:2020-02-05
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV157911835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist