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Organization

PYRAMID LAKE HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM WILSON (PHARMACY DIRECTOR)
(775) 574-1018
Entity
Organization

Contact information

Practice address
705 HWY 446, NIXON, NV 89424
(775) 574-1018
(775) 574-1028
Mailing address
705 HWY 446, PO BOX 227, NIXON, NV 89424
(775) 574-1018

Taxonomy

Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2978926
NCPDP NUMBER
Enumeration date
05/17/2007
Last updated
03/07/2023
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