| NPI | 1275742009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE DIANE BOCHE Pharmacist 307-856-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: WY 2698 Wy Pharmacy) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2008-06-27 |