| NPI | 1346618238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD EMMETT Pharmacy Manager 307-864-3777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WY 3833) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |