Organization
ROCOCO ENTERPRISES, INC
Active
Other names
Olsen's Corner Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER L OLSEN PHARM.D. (PRESIDENT)
(775) 625-2777
Entity
Organization
Contact information
Practice address
147 S BRIDGE ST, WINNEMUCCA, NV 89445-3106
(775) 625-2777
(775) 625-2778
Mailing address
147 S BRIDGE ST, WINNEMUCCA, NV 89445-3106
(775) 625-2777
(775) 625-2778
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH01913
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503370
—
NV
Enumeration date
05/04/2006
Last updated
08/22/2020
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