Organization
NNAMHS OUTPATIENT PHARMACY
Active
Organization
NNAMHS OUTPATIENT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN HOANG PHARMD (PHARMACY DIRECTOR)
(775) 688-0526
Entity
Organization
Contact information
Practice address
480 GALLETTI WAY, SPARKS, NV 89431-5544
(775) 688-2067
(775) 688-2069
Mailing address
480 GALLETTI WAY, SPARKS, NV 89431-5544
(775) 688-2067
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH04606
NEVADA STATE BOARD OF PHARMACY
NV
Enumeration date
09/25/2024
Last updated
09/25/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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