Organization
SHATTO DRUG INC
Active
Other names
Shatto's Frontier Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TANNER B SHATTO (CO-OWNER)
(307) 358-5077
Entity
Organization
Contact information
Practice address
1202 E RICHARDS ST, DOUGLAS, WY 82633-2934
(307) 358-5077
(307) 358-6301
Mailing address
PO BOX 705, DOUGLAS, WY 82633-0705
(307) 358-5077
(307) 358-6301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1995
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106589100
—
WY
05
—
106589101
—
WY
01
—
5201431
NABP
WY
Enumeration date
08/02/2005
Last updated
03/07/2023
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