Provider Demographics
NPI:1437753027
Name:SCHUSTER, CODY JAMES (RPH)
Entity Type:Individual
Prefix:
First Name:CODY
Middle Name:JAMES
Last Name:SCHUSTER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1807 SOLVANG MILL DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89135-1413
Mailing Address - Country:US
Mailing Address - Phone:702-358-7906
Mailing Address - Fax:
Practice Address - Street 1:3550 S RAINBOW BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-1004
Practice Address - Country:US
Practice Address - Phone:702-252-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV20368183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist