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General NPI Number Information
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NPI Number | 1194024224
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Entity Type | Organization
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Legal Business Name | PHARMACY SOLUTIONS INC
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Dates
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Enumeration Date | 03/15/2011
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Last Update Date | 10/20/2011
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Provider Practice Location Address
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Address Line | 136 SOUTH MCKINLEY STREET
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City | CASPER
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State | WY
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Zip | 82601
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Country | US
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Telephone | 307-237-0757
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Fax | 307-237-3213
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Provider Business Mailing Address
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Address Line | 136 SOUTH MCKINLEY STREET
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City | CASPER
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State | WY
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Zip | 82601
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Country | US
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Telephone | 307-237-0757
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Fax | 307-237-3213
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. DAVID ROSS PESTOTNIK
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Credential | PHARMACIST
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Telephone | 307-237-0757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | R10066
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License Number State | WY
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