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Organization

SUNDANCE INTERNATIONAL TRADING CO.

Active
Other names
Stone Drug
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA LEE NELSON RPH (OWNER)
(307) 733-6222
Entity
Organization

Contact information

Practice address
830 W BROADWAY, JACKSON, WY 83001
(307) 733-6222
(307) 733-3528
Mailing address
PO BOX 9000, JACKSON, WY 83002-9000
(307) 733-6222
(307) 733-3528

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
R10061
WY

Other

Enumeration date
05/21/2010
Last updated
05/21/2010
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