Flying Diamond Pharmacy Llc

NPI 1174578124 - Pharmacy - 3336L0003X

NPI Details
NPI 1174578124
Enumeration Date 05/24/2006
Last Updated 06/24/2016
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name WANDA WANDA
Position OWNER
Phone (775) 787-1144
Fax (775) 787-1143
Practice Location
6140 MAE ANNE AVE STE 1B
RENO NV, 89523-4707, US
Phone (775) 787-1144
Fax (775) 787-1143
Business Location
PO BOX 5326
RENO NV, 89513-5326, US
Phone (775) 787-1144
Fax
Toxanomy
Taxonomy Code 3336L0003X
License State Nevada
License Number PH02114
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According to our database, Flying Diamond Pharmacy Llc NPI is 1174578124, taxonomy code is 3336L0003X and license number is PH02114, license state is located at Nevada. Flying Diamond Pharmacy Llc physically located at 6140 Mae Anne Ave Ste 1b, Reno NV, 89523-4707. NPI Number 1033115704 has the healthcare provider type.

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1174578124 NPI number is provided on an as is basis without warranty of any kind. 1174578124 is maintained by the National Plan & Provider Enumeration System. The contents of Flying Diamond Pharmacy Llc are for informational purposes only.