| NPI | 1760882831 |
|---|---|
| Doing Business As | SILVER STAGE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GRANT S MOULTON President 775-426-9385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2015-12-23 |