NPI | 1912715996 |
---|---|
Former Legal Business Name | WIND RIVER CARES - LANDER |
Entity Type | Organization |
Authorized Contact | BRIAN OLAND Clinical Director 307-856-9281 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
Enumeration Date | 2024-12-23 |
Last Update Date | 2024-12-23 |