Provider Demographics
NPI:1083257729
Name:ECONOMY DRUG, INC.
Entity Type:Organization
Organization Name:ECONOMY DRUG, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND PIC
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:BATH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:775-289-4929
Mailing Address - Street 1:696 AULTMAN ST
Mailing Address - Street 2:
Mailing Address - City:ELY
Mailing Address - State:NV
Mailing Address - Zip Code:89301-1555
Mailing Address - Country:US
Mailing Address - Phone:775-289-4929
Mailing Address - Fax:775-289-8515
Practice Address - Street 1:91 N. MAIN ST
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:NV
Practice Address - Zip Code:89316
Practice Address - Country:US
Practice Address - Phone:775-237-7700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ECONOMY DRUG, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-25
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy