| Organization Name: | WRIVS INC |
| NPI Number: | 1902990633 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WALDO R ROTH (PRESIDENT PHARMACIST IN CHARGE) |
| Mailing Address: | 3131 E Grand Ave Suite B Laramie |
| State: | WY US |
| Postal Code: | 820705140 |
| Phone Number: | 3077425048 |
| Fax Number: | 3077450432 |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 04/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 52-02394 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WY |
| 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 |