| NPI | 1700910411 |
|---|---|
| Doing Business As | SOUTH LINCOLN MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ERIC H BOLEY CEO 307-877-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: WY 52-03675-IP) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: WY 52-03675) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2012-01-05 |