| NPI | 1982121109 |
|---|---|
| Doing Business As | NEVADA STATE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOHN MARTIN Director 702-916-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NV PH03815) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2018-07-19 |