Provider Demographics
NPI:1518470707
Name:ECONOMY DRUG, INC.
Entity Type:Organization
Organization Name:ECONOMY DRUG, INC.
Other - Org Name:ECONOMY DRUG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/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:
Practice Address - Street 1:696 AULTMAN ST
Practice Address - Street 2:
Practice Address - City:ELY
Practice Address - State:NV
Practice Address - Zip Code:89301-1555
Practice Address - Country:US
Practice Address - Phone:775-289-4929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-09
Last Update Date:2017-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPH000213336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy