Organization
M & K INC
Active
Other names
Plaza Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KALE W SMITH RPH (OWNER PHARMACIST)
(307) 362-1007
Entity
Organization
Contact information
Practice address
1411 DEWAR DR, ROCK SPRINGS, WY 82901
(307) 362-1007
(307) 352-2951
Mailing address
1411 DEWAR DR, ROCK SPRINGS, WY 82901
(307) 362-1007
(307) 352-2951
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5202279
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104423100
—
WY
Enumeration date
12/18/2006
Last updated
08/13/2008
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