Provider Demographics
NPI:1750046850
Name:CLEMENTS, RYAN CHRISTOPHER (RPH)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:CHRISTOPHER
Last Name:CLEMENTS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:CHRISTOPHER
Other - Middle Name:RYAN
Other - Last Name:MURRI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1944 GUINN DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-4220
Mailing Address - Country:US
Mailing Address - Phone:702-677-7444
Mailing Address - Fax:
Practice Address - Street 1:1990 W SUNSET RD
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-2398
Practice Address - Country:US
Practice Address - Phone:702-454-0671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV21841183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist