Healthcare Provider Details

I. General information

NPI: 1831729268
Provider Name (Legal Business Name): WILLIAM BEE RIRIE RETAIL PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2020
Last Update Date: 08/10/2020
Certification Date: 08/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 AVENUE H
ELY NV
89301-2615
US

IV. Provider business mailing address

1500 AVENUE H
ELY NV
89301-2615
US

V. Phone/Fax

Practice location:
  • Phone: 775-289-2338
  • Fax: 775-549-8500
Mailing address:
  • Phone: 775-289-2338
  • Fax: 775-549-8500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: FRANK VINCENT RUVOLO
Title or Position: IT DIRECTOR
Credential:
Phone: 775-289-3001