| NPI | 1518050947 |
|---|---|
| Doing Business As | WESTON COUNTY HEALTH SERVICES PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TAVIS WEIDENBACH Pharmacist In Charge 307-746-3742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: WY 5202609) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336I0012X Pharmacy Institutional Pharmacy | |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2017-02-28 |