NPI 1740065986 · live from the CMS NPI Registry
Bryce Brendon Bushnell
Pharmacy in Sparks, NV. National Provider Identifier 1740065986, active.
NPI record
| NPI | 1740065986 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 7747 Sonic Ct, Sparks, NV 89436 |
| Practice phone | 775-409-7185 |
| Enumerated | August 28, 2023 |
| Last updated | August 28, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy primary | 333600000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.