Provider Demographics
NPI:1669667416
Name:KOSZER, STUART JOSEPH (BS PHARM)
Entity Type:Individual
Prefix:MR
First Name:STUART
Middle Name:JOSEPH
Last Name:KOSZER
Suffix:
Gender:M
Credentials:BS PHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10133 SOMERDALE CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-4703
Mailing Address - Country:US
Mailing Address - Phone:702-480-9074
Mailing Address - Fax:702-685-3636
Practice Address - Street 1:8751 W CHARLESTON BLVD
Practice Address - Street 2:STE. #120
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-5480
Practice Address - Country:US
Practice Address - Phone:702-685-3800
Practice Address - Fax:702-685-3636
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11774183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist