Provider Demographics
NPI:1043875024
Name:SY, CHRISTIAN ALLEN AGUAS (PHARM D)
Entity type:Individual
Prefix:
First Name:CHRISTIAN ALLEN
Middle Name:AGUAS
Last Name:SY
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6845 SIERRA CENTER PKWY
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-2214
Mailing Address - Country:US
Mailing Address - Phone:775-853-8916
Mailing Address - Fax:
Practice Address - Street 1:6845 SIERRA CENTER PKWY
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-2214
Practice Address - Country:US
Practice Address - Phone:775-853-8916
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-06
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV19717183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist