NPI | 1518978014 |
---|---|
Doing Business As | BASIN PHARMACY |
Former Legal Business Name | CRAIG A JONES |
Entity Type | Organization |
Authorized Contact | CRAIG A JONES Owner 307-568-3636 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WY 5203815) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2006-08-10 |
Last Update Date | 2021-09-16 |