NPI | 1346700622 |
---|---|
Doing Business As | WIND RIVER CARES - ETHETE |
Entity Type | Organization |
Authorized Contact | KERRIE MINICK Business Administrator 307-856-9281 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
Enumeration Date | 2019-03-22 |
Last Update Date | 2024-11-06 |