Provider Demographics
NPI:1083370290
Name:NYARIKI, DAVIS
Entity Type:Individual
Prefix:
First Name:DAVIS
Middle Name:
Last Name:NYARIKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:645 S VIRGINIA ST APT 9
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89501-2374
Mailing Address - Country:US
Mailing Address - Phone:701-200-0158
Mailing Address - Fax:
Practice Address - Street 1:2200 US HIGHWAY 50 E
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:NV
Practice Address - Zip Code:89403-7352
Practice Address - Country:US
Practice Address - Phone:775-246-0920
Practice Address - Fax:775-246-3918
Is Sole Proprietor?:No
Enumeration Date:2021-11-11
Last Update Date:2021-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV21796183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist