| NPI | 1841360922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY HILL Owner 307-875-2435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WY 04000017) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |