NPI 1063779221

Daniel James Bouzek, RPH

Practitioner Pharmacist Sparks, NV

Practice location

Address: 9705 Pyramid Way, Sparks, NV 89441
Phone: (775) 425-9400
Mailing address: 2286 Cygnus Way, Sparks, NV 89441

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 11288 (NV)

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Registry record

NPI: 1063779221
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Apr 2012
Record last updated: 12 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.