Flying Diamond Pharmacy

LBN: Flying Diamond Pharmacy Llc
Flying Diamond Pharmacy is an health care organization with primary practice located at 6140 Mae Anne Ave Ste 1B , Reno NV 89523-4707. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Flying Diamond Pharmacy Llc can be contacted via phone (775) 787-1144, or through Avera Hill, Wanda via phone (775) 787-1144.

Contact Information

Primary practice address
6140 Mae Anne Ave Ste 1B Reno NV 89523-4707
Phone: (775) 787-1144
Fax: (775) 787-1143
Website:
Map and Directions
Authorized official contact:
Name: Avera Hill, Wanda CPHT
Phone: (775) 787-1144

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X PH02114 Nevada

Profile Details

NPI number 1174578124
LBN Legal business name Flying Diamond Pharmacy Llc
DBA Doing business as Flying Diamond Pharmacy
Authorized official Avera Hill, Wanda CPHT
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2006
Last updated Sep 26th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174578124 NPPES
Other 2052136 PK
MEDICAID 1275587867 PK
MEDICAID 1174578124 PK

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