| NPI | 1275931404 |
|---|---|
| Doing Business As | CENTRX PHARMACY NORTHERN NEVADA |
| Entity Type | Organization |
| Authorized Contact | MARVIN PEMBER CEO 610-302-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: NV ph03261) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2017-01-23 |