Organization
NORTH STAR INFUSION INC
Active
Other names
North Star Pharmacy and Infusion (2)
Organization subpart
No
Provider details
NPI number
Authorized official
SCOT SCHMIDT (OWNER)
(307) 637-7920
Entity
Organization
Contact information
Practice address
2301 HOUSE AVE, STE 101, CHEYENNE, WY 82001-3176
(307) 637-7920
(307) 637-3416
Mailing address
2301 HOUSE AVE, STE 101, CHEYENNE, WY 82001-3176
(307) 637-7920
(307) 637-3416
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
R10161
WY
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144423900
—
WY
01
—
2163914
PK
—
Enumeration date
09/15/2016
Last updated
12/09/2016
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