| NPI | 1437693959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY BROOKS Owner 775-544-8873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: NV PH03670) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2017-01-20 |