| NPI | 1508658097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JEAN WHEELER Chief Operations Officer 775-336-3035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-05-20 |