| NPI | 1972657179 |
|---|---|
| Doing Business As | ST JOHN'S MEDICAL CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ALISA JEAN LANE Director Of Finance 307-739-7641 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy (Licence: WY 5201102) |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: WY 5201102) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2017-12-19 |