| NPI | 1063078301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH L TAYLOR Owner/Pharmacist In Charge 307-746-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2021-06-24 |