NPI | 1295165975 |
---|---|
Doing Business As | WESTERN DRUG COMPOUNDING PHARMACY |
Entity Type | Organization |
Authorized Contact | KARI W VONDRA Owner/President 406-222-7332 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2013-11-18 |
Last Update Date | 2013-11-18 |