GARY T DIRISIO, PHARM.D., Clinical Pharmacology NELLIS AFB, NV

Contact Information

GARY T DIRISIO, PHARM.D.

4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6600

Phone: 702-653-3578
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Clinical Pharmacology	208U00000X

Indicates primary specialty

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NPI Profile & details for GARY T DIRISIO · (Male)

NPI Number	`1558873828`
Status	Active
Credentials	PHARM.D. (Doctor of Pharmacy)
Entity	Individual
Enumeration date	10/26/2017
Last updated	09/17/2020 - About 6 years ago
Sole proprietor ¹	Yes
Identifiers	CA License # 39645 NV License # 09138
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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GARY T DIRISIO, PHARM.D. – NPI #1558873828Clinical Pharmacology

Contact Information

Specialty

Clinical Pharmacology

NPI Profile & details for GARY T DIRISIO · (Male)

Reviews for GARY T DIRISIO

GARY T DIRISIO, PHARM.D. – NPI #1558873828
Clinical Pharmacology