| Organization Name: | LINDEN STREET MENTAL HEALTH CENTER PHARMACY |
| NPI Number: | 1023254141 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELIZABETH A O'BRIEN (BUSINESS MANAGER) |
| Mailing Address: | 480 Galletti Way Sparks |
| State: | NV US |
| Postal Code: | 894315564 |
| Phone Number: | 7756882001 |
| Fax Number: | 7756882004 |
| NPI Enumeration Date: | 12/18/2008 |
| NPI Last Update Date: | 12/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336C0002X |
| License Number: | IB02449 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Clinic Pharmacy |
| Taxonomy Definition: | A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |