| NPI | 1992874218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW FITZGERALD CEO 307-688-1502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: WY 5201126) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |