NPI | 1073369344 |
---|---|
Doing Business As | INDEPENDENCE DRUG |
Entity Type | Organization |
Authorized Contact | CAMERIN CORDELL PASSEY Owner 775-264-4747 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2024-04-27 |
Last Update Date | 2024-08-19 |