Provider Demographics
NPI:1326462102
Name:UNIVERSITY OF NEVADA SCHOOL OF MEDICINE PHARMACY, INC.
Entity Type:Organization
Organization Name:UNIVERSITY OF NEVADA SCHOOL OF MEDICINE PHARMACY, INC.
Other - Org Name:CAMPUS PHARMACY WEST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIR
Authorized Official - Prefix:DR
Authorized Official - First Name:IAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUXTON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:775-848-2128
Mailing Address - Street 1:DEPARTMENT OF PHARMACOLOGY 0318
Mailing Address - Street 2:MANVILLE 1
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89557-0001
Mailing Address - Country:US
Mailing Address - Phone:702-784-1348
Mailing Address - Fax:775-784-1620
Practice Address - Street 1:1701 W CHARLESTON BLVD STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2319
Practice Address - Country:US
Practice Address - Phone:702-992-6906
Practice Address - Fax:702-992-6908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-13
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy