| NPI | 1649382565 |
|---|---|
| Doing Business As | VICKLUND PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANTHONY DEROMEDI Mr. 307-864-2369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WY R10114) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-08-16 |