NPI | 1952823783 |
---|---|
Doing Business As | ST. JOHN'S PHARMACY |
Entity Type | Organization |
Authorized Contact | ALISA LANE Director Of Finance 307-739-7641 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WY R10167) |
Enumeration Date | 2017-07-13 |
Last Update Date | 2022-07-21 |