NPI | 1821182700 |
---|---|
Doing Business As | MIKES PHARMACY |
Entity Type | Organization |
Authorized Contact | MICHAEL HAUTEKEET Owner 775-841-1400 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NV PHC01108) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
333600000X Pharmacy | |
Enumeration Date | 2006-10-03 |
Last Update Date | 2014-11-13 |