Organization
BOUNTIFUL PHARMACY LLC
Active
Organization
BOUNTIFUL PHARMACY LLC
Active
Other names
Lovelock 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
325 11TH ST #2, LOVELOCK, NV 89419
(775) 273-1700
Mailing address
PO BOX 823, YERINGTON, NV 89447-0823
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH02722
NV
Other
Enumeration date
06/12/2018
Last updated
11/12/2020
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