NPI 1598084121 · live from the CMS NPI Registry
Sundance International Trading Co.
Pharmacy, Community/Retail Pharmacy in Jackson, WY. National Provider Identifier 1598084121, active.
NPI record
| NPI | 1598084121 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 830 W Broadway, Jackson, WY 83001 |
| Practice phone | 307-733-6222 |
| Mailing address | Po Box 9000, Jackson, WY 83002 |
| Enumerated | May 21, 2010 |
| Last updated | May 21, 2010 |
| Authorized official | Laura Nelson, Owner |
| Other names | Stone Drug |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | R10061 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.