| 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 |