| NPI | 1194024224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ROSS PESTOTNIK Vice President 307-237-0757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: WY R10066) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-10-20 |