NPI 1598084121
Sundance International Trading Co.
Practice location
- Address
- 830 W Broadway, Jackson, WY 83001
- Phone
- (307) 733-6222
- Fax
- (307) 733-3528
- Mailing address
- PO Box 9000, Jackson, WY 83002-9000
Authorised official
- Name
- Laura Lee Nelson
- Title
- Owner
- Phone
- (307) 733-6222
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1598084121
- Entity type
- Organization
- NPI issued
- 21 May 2010
- Record last updated
- 21 May 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.