| NPI | 1538152277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK F BEMIS Pharmacist 307-322-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WY 5282201) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WY 5282201) |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2020-08-22 |