| Wyoming Medicine And Pharmacy Llc | |
|
443 Spring St Suite 303 Jeffersonvlle IN 47130-4494 | |
| (812) 913-4416 | |
| (812) 213-8408 |
| Full Name | Wyoming Medicine And Pharmacy Llc |
|---|---|
| Speciality | General Practice |
| Location | 443 Spring St, Jeffersonvlle, Indiana |
| Authorized Official Name and Position | Rafael F Cruz (OWNER) |
| Authorized Official Contact | 8594685065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyoming Medicine And Pharmacy Llc 443 Spring St Suite 303 Jeffersonvlle IN 47130-4494 Ph: (812) 913-4416 | Wyoming Medicine And Pharmacy Llc 443 Spring St Suite 303 Jeffersonvlle IN 47130-4494 Ph: (812) 913-4416 |
| NPI Number | 1104229426 |
|---|---|
| Provider Enumeration Date | 10/01/2014 |
| Last Update Date | 10/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104229426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |