| NPI | 1174578124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA W AVERA Office Manager 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 | 2025-05-12 |