Organization Name: | MEDICAL CENTER PHARMACY LLC |
NPI Number: | 1700961083 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM WENKE (GENERAL PARTNER) |
Mailing Address: | 698 Yellowstone Ave Cody |
State: | WY US |
Postal Code: | 824149322 |
Phone Number: | 3075276221 |
Fax Number: | |
NPI Enumeration Date: | 10/26/2006 |
NPI Last Update Date: | 06/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |