Organization
WRIVS INC
Active
Other names
Quality I.V. Care
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA SCOZZAFAVA PHARMD (PHARMACIST-IN-CHARGE)
(307) 742-5048
Entity
Organization
Contact information
Practice address
3131 E GRAND AVE UNIT B, LARAMIE, WY 82070-5140
(307) 742-5048
(307) 745-0432
Mailing address
3131 E GRAND AVE UNIT B, LARAMIE, WY 82070-5140
(307) 742-5048
(307) 745-0432
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
2366
WY
332B00000X
Durable Medical Equipment & Medical Supplies
52-02394
WY
3336H0001X
Home Infusion Therapy Pharmacy
Primary
52-02394
WY
3336S0011X
Specialty Pharmacy
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—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107021501
—
WY
05
—
5202394
—
WY
Enumeration date
10/03/2006
Last updated
01/27/2026
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