| NPI | 1598371692 |
|---|---|
| Other Name | MEMORIAL HOSPITAL OF CARBON COUNTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LISA DIANE MILLER-WOOD Credentials Coordinator 307-324-2221 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |