Organization
VICKLUND INC.
Active
Other names
Hot Springs Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY JOSEPH DEROMEDI (PRESIDENT)
(307) 760-5192
Entity
Organization
Contact information
Practice address
610 S 6TH ST, THERMOPOLIS, WY 82443-3202
(307) 864-2369
(307) 864-9202
Mailing address
610 S 6TH ST, THERMOPOLIS, WY 82443-3202
(307) 864-2369
(307) 864-9202
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
R10114
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146836
PK
—
Enumeration date
08/31/2006
Last updated
09/16/2024
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