Wind River Family & Community Health Care
Pharmacy in Ethete, WY. Organization (NPI-2).
NPI number1346700622
StatusActive
Last updated in NPPESNov 6, 2024
Details
- NPI
- 1346700622
- Entity type
- Organization (NPI-2)
- Legal business name
- Wind River Family & Community Health Care
- Organization subpart
- Yes
- Enumeration date
- Mar 22, 2019
- Certification date
- Nov 6, 2024
- Last updated
- Nov 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
| 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | – | – |
Other names
- Wind River Cares - Ethete (Doing Business As)
Practice location
707 Blue Sky HighwayEthete, WY 82520
Phone 307-855-2751 · Fax 307-335-1038
Mailing address
Po Box 1310Riverton, WY 82501-0158
Phone 307-856-9281
Authorized official
Kerrie Minick
Business Administrator
3078569281
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