Organization
SOUTH LYON MEDICAL CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI A INSERRA CEO (ADMINISTRATOR)
(775) 463-6404
Entity
Organization
Contact information
Practice address
213 S WHITACRE ST, YERINGTON, NV 89447-2561
(775) 463-2301
Mailing address
PO BOX 940, YERINGTON, NV 89447-0940
(775) 463-2301
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
IB00788
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002810863
—
NV
Enumeration date
11/29/2006
Last updated
01/17/2020
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