Organization · NPI-2

307 Infusion Pharmacy, LLC

Pharmacy, Home Infusion Therapy Pharmacy · Casper, WY

NPI number1003404609
StatusActive
Last updated in NPPESMay 18, 2021

Details

NPI
1003404609
Entity type
Organization (NPI-2)
Legal business name
307 Infusion Pharmacy, LLC
Organization subpart
No
Enumeration date
Jan 8, 2021
Certification date
May 18, 2021
Last updated
May 18, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336H0001X Pharmacy, Home Infusion Therapy Pharmacy––Yes
251E00000X Home Health––
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition––

Practice location

1030 N Poplar St Ste A
Casper, WY 82601-1378

Phone 307-333-1054

Mailing address

1030 N Poplar St Ste A
Casper, WY 82601-1378

Phone 307-247-1650

Authorized official

Christy Davis
Director
3073331054

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