Organization
STONE DRUG
Active
Other names
Sundance International Trading Co
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH R BALBEN RPH,PIC OWNER (OWNER TREASURER)
(307) 733-9768
Entity
Organization
Contact information
Practice address
830 W BROADWAY, JACKSON, WY 83002-9000
(307) 733-9768
(307) 733-9768
Mailing address
PO BOX 9000, JACKSON, WY 83002-9000
(307) 733-9768
(307) 733-3528
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PENDING
WY
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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