Hillside Pharmacy

NPI #1881777696 in Sundance, Wyoming

Provider Information

NPI Number: 1881777696
Entity Type: Organization
Organization Name: Hillside Pharmacy
Primary Specialty: Pharmacist
Enumeration Date: Oct 23, 2006
Last Updated: Jun 19, 2008

Practice Location

Address: 224 MAIN STREET
City: Sundance
State: Wyoming
ZIP Code: 82729-0547
Phone: (307) 283-3883

Authorized Official

Name: MR. VIRGIL VIRCHOW
Title: PHARMACIST/OWNER
Phone: (307) 283-3883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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