Organization
BOUNTIFUL PHARMACY LLC
Active
Other names
Silver Stage Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW CHRISTENSEN PHARM.D. (MANAGING MEMBER)
(775) 463-2345
Entity
Organization
Contact information
Practice address
1250 NEVADA AVE # 2, SILVER SPRINGS, NV 89429-7979
(775) 909-4855
Mailing address
PO BOX 823, YERINGTON, NV 89447-0823
(775) 463-2345
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH03467
NV
Other
Enumeration date
06/11/2018
Last updated
11/12/2020
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