| NPI | 1114544822 |
|---|---|
| Doing Business As | WYOMING DRUG |
| Entity Type | Organization |
| Authorized Contact | THOMAS HAAS Pharmacist 651-464-2114 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |