Organization
RAWHIDE DRUG LLC
Active
Other names
Rawhide Drug Company
Organization subpart
No
Provider details
NPI number
Authorized official
VICKILEE KNIGHT EINHELLIG (MANAGING PARTNER)
(970) 461-1975
Entity
Organization
Contact information
Practice address
232 S MAIN STREET, LUSK, WY 82225
(307) 334-3132
(307) 334-2026
Mailing address
3780 E 15TH STREET, SUITE 102, LOVELAND, CO 80538
(970) 461-1975
(970) 461-4042
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
R10029
WY
Other
Enumeration date
06/14/2007
Last updated
06/28/2018
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