| NPI | 1275587867 |
|---|---|
| Doing Business As | FLYING DIAMOND PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WANDA AVERA HILL Member, Owner 775-787-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: NV PH02114) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2015-09-25 |