Whalio Doctors

NPI 1356664239

Stone Drug

Organisation Pharmacy Jackson, WY

Practice location

Address
830 W Broadway, Jackson, WY 83002-9000
Phone
(307) 733-9768
Fax
(307) 733-9768
Mailing address
PO Box 9000, Jackson, WY 83002-9000

Authorised official

Name
Sarah R Balben
Title
Owner Treasurer
Phone
(307) 733-9768

Registered specialties

Pharmacy Primary
Suppliers Taxonomy 333600000X Licence PENDING (WY)

Registry record

NPI
1356664239
Entity type
Organization
NPI issued
8 Mar 2010
Record last updated
8 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.