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Contact Information

PROFESSIONAL PHARMACY, INC.
101 CONSTITUTION AVE.
SARATOGA, WY82331
 Phone: 307-326-5129
 Fax: 307-326-5165
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PROFESSIONAL PHARMACY, INC.

NPI Number 1316087299
LBN Legal business name PROFESSIONAL PHARMACY, INC.
Authorized official ROD WAECKERLIN - (OWNER/RPH)
Entity Organization
Organization subpart 1 No
Enumeration date 02/08/2007
Last updated 02/10/2022 - About 4 years ago
Identifiers
WY License # 52-03120
WY Medicaid 111302000
Other 2111536 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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