Organization
307 INFUSION PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTY DAVIS PHARMD (DIRECTOR)
(307) 333-1054
Entity
Organization
Contact information
Practice address
1030 N POPLAR ST STE A, CASPER, WY 82601-1378
(307) 333-1054
Mailing address
1030 N POPLAR ST STE A, CASPER, WY 82601-1378
(307) 247-1650
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
01/08/2021
Last updated
05/18/2021
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