| NPI | 1659400430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT REASCH Pharmacist And Owner 307-548-7231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WY 5200631) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2017-01-17 |