| NPI | 1033886015 |
|---|---|
| Other Name | RENOWN MAIL ORDER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ADAM PORATH VP, Pharmacy 775-982-6838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2021-08-26 |