NPI 1356664239 · live from the CMS NPI Registry
Stone Drug
Pharmacy in Jackson, WY. National Provider Identifier 1356664239, active.
NPI record
| NPI | 1356664239 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 830 W Broadway, Jackson, WY 83002 |
| Practice phone | 307-733-9768 |
| Mailing address | Po Box 9000, Jackson, WY 83002 |
| Enumerated | March 8, 2010 |
| Last updated | March 8, 2010 |
| Authorized official | Sarah Balben, Owner Treasurer |
| Other names | Sundance International Trading Co |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy primary | 333600000X | pending (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.