Provider Demographics
NPI:1275395089
Name:WRIVS INC
Entity Type:Organization
Organization Name:WRIVS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOZZAFAVA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:307-742-5048
Mailing Address - Street 1:3131 E GRAND AVE UNIT B
Mailing Address - Street 2:
Mailing Address - City:LARAMIE
Mailing Address - State:WY
Mailing Address - Zip Code:82070-5140
Mailing Address - Country:US
Mailing Address - Phone:307-742-5048
Mailing Address - Fax:307-745-0432
Practice Address - Street 1:4081 LARAMIE ST STE B
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-2074
Practice Address - Country:US
Practice Address - Phone:307-742-5048
Practice Address - Fax:307-745-0432
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WRIVS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies