| NPI | 1912155094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID VASENDEN Owner 775-853-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NV PHC02377) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2016-11-14 |