| NPI | 1710379144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY BUNKER Clinical Pharmacist 307-778-7550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: UT 9062545-1701) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |