Provider Demographics
NPI:1477125540
Name:NORTH STAR INFUSION, INC
Entity Type:Organization
Organization Name:NORTH STAR INFUSION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOT
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:307-637-4300
Mailing Address - Street 1:7121 COMMONS DR
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82009-2651
Mailing Address - Country:US
Mailing Address - Phone:307-637-4300
Mailing Address - Fax:307-637-4306
Practice Address - Street 1:7121 COMMONS DR STE 1
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-2651
Practice Address - Country:US
Practice Address - Phone:076-374-3003
Practice Address - Fax:307-637-4300
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTH STAR INFUSION, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-16
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy