Organization Name: | NORTH BIG HORN HOSPITAL PHARMACY |
NPI Number: | 1912266008 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICKY ALAN SCHROEDER (CEO) |
Mailing Address: | 1115 Lane 12 Lovell |
State: | WY US |
Postal Code: | 82431 |
Phone Number: | 3075485200 |
Fax Number: | 3075485205 |
NPI Enumeration Date: | 05/09/2012 |
NPI Last Update Date: | 05/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NR1301X |
License Number: | 52-00176-IP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Rural |
Taxonomy Definition: |