NORTH STAR INFUSION INC
Parenteral and Enteral Nutrition
Cheyenne, Wyoming
Provider NPI: 1346798675
Organization Information:Organization Name: NORTH STAR INFUSION INC
Practice Location:
2301 HOUSE AVE STE 101 CHEYENNE, WY 82001 US
Tel: 307-637-7920 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2301 HOUSE AVE STE 101 CHEYENNE, WY 82001 US
Tel: 307-637-7920 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers Pharmacy | ||
N | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | ||
N | 332BP3500X | Suppliers Durable Medical Equipment & Medical Supplies | ||
N | 3336H0001X | Suppliers Pharmacy | ||
N | 3336L0003X | Suppliers Pharmacy | ||
N | 3336S0011X | Suppliers Pharmacy | ||
Y | 3336C0003X | Suppliers Pharmacy | WY | R10161 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2163914 | 01 | |
144423900 | WY | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin