Organization
PHARMACIST AT LARGE, INC.
Active
Other names
Silver Stage Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRANT S MOULTON R.PH. (PRESIDENT)
(775) 426-9385
Entity
Organization
Contact information
Practice address
1250 NEVADA AVE, SUITE #2, SILVER SPRINGS, NV 89429
(775) 909-4855
(775) 909-4851
Mailing address
5424 OAKWOOD CIR, FALLON, NV 89406-4272
(775) 909-4855
(775) 909-4851
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/26/2014
Last updated
12/23/2015
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