Organization
PHARMACIST AT LARGE, INC.
Active
Other names
Lovelock Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT MOULTON (R.PH., PRESIDENT)
(775) 273-1700
Entity
Organization
Contact information
Practice address
855 6TH ST, LOVELOCK, NV 89419-0661
(775) 273-1700
(775) 273-9013
Mailing address
325 11TH STREET, #2, LOVELOCK, NV 89419
(775) 273-1700
(775) 273-9013
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
IB00779
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2992700
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/02/2011
Last updated
09/02/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us