| NPI | 1336933134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY PEDRI Pharmacist In Charge Owner 307-382-3544 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-04-07 |