Ljc,inc Dba Stone Drug

NPI 1003943176 - Pharmacy - 3336C0003X

NPI Details
NPI 1003943176
Enumeration Date 02/27/2007
Last Updated 02/08/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOHN FISHER JOHN
Position PRESIDENT, PIC
Phone (307) 733-9768
Fax
Practice Location
830 WEST BROADWAY
BOX 9000
JACKSON WY, 83001, US
Phone (307) 733-9768
Fax
Business Location
PO BOX 9000
830 WEST BROADWAY
JACKSON WY, 83002-9000, US
Phone (307) 733-9768
Fax
Toxanomy
Taxonomy Code 3336C0003X
License State Wyoming
License Number 52-02356
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According to our database, Ljc,inc Dba Stone Drug NPI is 1003943176, taxonomy code is 3336C0003X and license number is 52-02356, license state is located at Wyoming. Ljc,inc Dba Stone Drug physically located at 830 West Broadway, Jackson WY, 83001. NPI Number 1033115704 has the healthcare provider type.

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1003943176 NPI number is provided on an as is basis without warranty of any kind. 1003943176 is maintained by the National Plan & Provider Enumeration System. The contents of Ljc,inc Dba Stone Drug are for informational purposes only.