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Organization
NO. NV ADLT MNTL HLTH SVCS
Active
Organization
NO. NV ADLT MNTL HLTH SVCS
Active
Parent organization
STATE OF NEVADA
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF NEVADA
Authorized official
ELIZABETH A O'BRIEN (BUSINESS MANAGER)
(775) 688-2001
Entity
Organization
Contact information
Practice address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-2001
(775) 688-2192
Mailing address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-2001
(775) 688-2192
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
IA00246
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IA00246
PHARMACY
NV
Enumeration date
07/16/2007
Last updated
03/07/2023
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