| NPI | 1194800326 |
|---|---|
| Other Name | RENOWN PHARMACY - LOCUST |
| Entity Type | Organization |
| Authorized Contact | ADAM PORATH VP, Pharmacy 775-982-6838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: NV PH00839) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2022-08-24 |