Organization
CITY DRUG INC
Active
Other names
CITY DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CONGER (CO-OWNER)
(435) 760-5266
Entity
Organization
Contact information
Practice address
131 10TH ST, EVANSTON, WY 82930-3421
(307) 789-4000
(307) 444-4000
Mailing address
2775 W 6500 S, WELLSVILLE, UT 84339-6729
(307) 789-4000
(307) 444-4000
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
R10068
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131468
PK
—
Enumeration date
10/03/2006
Last updated
02/21/2014
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