| NPI | 1912761263 |
|---|---|
| Other Name | FREMONT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DONNA BUSS Revenue Cycle Manager 702-759-0636 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-07 |