Organization
GUIDED ALLIANCE PHARMACY INC
Active
Other names
Guided Alliance Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY MCFADDEN (PRESIDENT)
(949) 496-3906
Entity
Organization
Contact information
Practice address
7025 LONGLEY LN, SUITE 30-A, RENO, NV 89511-1238
(775) 853-4273
(775) 853-7694
Mailing address
7025 LONGLEY LN, SUITE 30-A, RENO, NV 89511-1238
(775) 853-4273
(775) 853-7694
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
PH02685
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2992560
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/11/2011
Last updated
09/05/2012
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