Provider Demographics
NPI:1093849119
Name:KHOURY'S INC.
Entity Type:Organization
Organization Name:KHOURY'S INC.
Other - Org Name:KHOURY'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO OWNER SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KHOURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-738-9298
Mailing Address - Street 1:1041 GRASS VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:WINNEMUCCA
Mailing Address - State:NV
Mailing Address - Zip Code:89445-4057
Mailing Address - Country:US
Mailing Address - Phone:775-623-4388
Mailing Address - Fax:775-623-4398
Practice Address - Street 1:1041 GRASS VALLEY RD
Practice Address - Street 2:
Practice Address - City:WINNEMUCCA
Practice Address - State:NV
Practice Address - Zip Code:89445-4057
Practice Address - Country:US
Practice Address - Phone:775-623-4388
Practice Address - Fax:775-623-4398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPH02232333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy