NPI | 1174578124 |
---|---|
Doing Business As | FLYING DIAMOND PHARMACY |
Entity Type | Organization |
Authorized Contact | WANDA AVERA HILL Owner 775-787-1144 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: NV PH02114) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-05-24 |
Last Update Date | 2016-09-26 |