# SOUTH LYON MEDICAL CENTER PHARMACY

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

## Provider details

- **NPI number:** 1134296585
- **Authorized official:** TONI A INSERRA CEO (ADMINISTRATOR)
- **Authorized official phone:** (775) 463-6404

## Contact information

- **Practice address:** 213 S WHITACRE ST, YERINGTON, NV 89447-2561
- **Practice address phone:** (775) 463-2301
- **Mailing address:** PO BOX 940, YERINGTON, NV 89447-0940
- **Mailing address phone:** (775) 463-2301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | IB00788 | NV | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 01/17/2020