Organization
SUNDANCE INTERNATIONAL TRADING CO.
Active
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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