| NPI | 1487047122 |
|---|---|
| Other Name | CLINIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MELANIE A CIELINSKI Administrator 307-436-9206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2022-04-21 |