# HUMBOLDT GENERAL HOSPITAL PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104970961
- **Authorized official:** MRS. ROBYN DUNCKHORST RN (ADMINISTRATOR)
- **Authorized official phone:** (775) 623-5222

## Contact information

- **Practice address:** 118 E HASKELL ST, WINNEMUCCA, NV 89445-3247
- **Practice address phone:** (775) 623-5222
- **Practice address fax:** (775) 623-5904
- **Mailing address:** 118 E HASKELL ST, WINNEMUCCA, NV 89445-3247
- **Mailing address phone:** (775) 623-5222
- **Mailing address fax:** (775) 623-5904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NC0060X | Critical Access Hospital | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | IA00315 | NV | Yes |
| 3336L0003X | Long Term Care Pharmacy | IA00315 | NV | — |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 02/15/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 002807855 | — | NV |