| NPI | 1164478830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD B MACKIE Sec/Treasurer 775-356-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NV PH02056) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-12-20 |