| 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 |