Organization
FLYING DIAMOND PHARMACY LLC
Active
Organization
FLYING DIAMOND PHARMACY LLC
Active
Other names
Flying Diamond Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN L HILL (MEMBER, OWNER)
(775) 787-1144
Entity
Organization
Contact information
Practice address
6140 MAE ANNE AVE STE 1B, RENO, NV 89523-4707
(775) 787-1144
(775) 787-1143
Mailing address
6140 MAE ANNE AVE STE 1B, RENO, NV 89523-4707
(775) 787-1144
(775) 787-1143
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PH02114
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100509084
—
NV
05
—
100509085
—
NV
Enumeration date
05/19/2006
Last updated
03/17/2025
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