| NPI | 1033123989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT B. AVERY President 307-787-6756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY 1731) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WY 5202407) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2025-09-11 |