| NPI | 1619903994 |
|---|---|
| Doing Business As | WYOMING DRUG |
| Entity Type | Organization |
| Authorized Contact | JAMES E GARRISON President 651-462-2082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 2056641) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2021-01-13 |