National Provider Identifier Database

WIND RIVER FAMILY COMMUNITY HEALTH CARE
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

WIND RIVER FAMILY & COMMUNITY HEALTH CARE
707 BLUE SKY HIGHWAY
ETHETE, WY82520
Phone: 307-855-2751
Fax: 307-335-1038
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

* Indicates primary specialty

NPI Profile & details for WIND RIVER FAMILY & COMMUNITY HEALTH CARE

NPI Number 1346700622
Legal business name
LBN
WIND RIVER FAMILY & COMMUNITY HEALTH CARE
Authorized official KERRIE MINICK - (BUSINESS ADMINISTRATOR)
Entity Organization
Organization subpart Yes
Enumeration date 03/22/2019
Last updated 11/06/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • WY Medicaid: 154097100

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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