| NPI | 1336274646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER PAGANO Pharmacy Director 775-329-5162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2023-03-07 |