Organization
ROCK SPRINGS I.V. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY GENE PEDRI R.PH. (PHARMACIST IN CHARGE OWNER)
(307) 382-3544
Entity
Organization
Contact information
Practice address
400 2ND ST, SUITE A-1, ROCK SPRINGS, WY 82901-6260
(307) 382-3544
(307) 382-0987
Mailing address
400 2ND ST, SUITE A-1, ROCK SPRINGS, WY 82901-6260
(307) 382-3544
(307) 382-0987
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
52-03156
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113201601
—
WY
05
—
807308
—
ID
Enumeration date
09/29/2006
Last updated
04/07/2025
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