Organization
RENOWN HEALTH PHARMACY
Active
Other names
Renown Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER C GRAY RPH (PHARMACY SUPERVISOR)
(775) 982-5060
Entity
Organization
Contact information
Practice address
75 PRINGLE WAY STE 103, RENO, NV 89502-8424
(775) 982-5060
(775) 982-5039
Mailing address
75 PRINGLE WAY STE 103, RENO, NV 89502-8424
(775) 982-5060
(775) 982-5039
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH00749
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2816011
—
NV
01
—
2904135
NCPDP
NV
Enumeration date
11/16/2006
Last updated
08/22/2020
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