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
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