Organization
INTEGRICARE CLINICAL ASSOCIATES INC
Active
Other names
IntegriCare Rx
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE SHEA (OWNER/CFO)
(775) 851-7788
Entity
Organization
Contact information
Practice address
10605 DOUBLE R BLVD, RENO, NV 89521-8920
(775) 851-7788
(775) 851-7787
Mailing address
PO BOX 17448, RENO, NV 89511-7448
(775) 851-7788
(775) 851-7787
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHC02882
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2137771
PK
—
Enumeration date
11/15/2012
Last updated
07/22/2016
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