| NPI | 1639482532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINDA L GEILE President/Owner 307-322-2486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WY R10063) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2013-08-21 |