NPI 1003943176 · live from the CMS NPI Registry
Ljc,INC Dba Stone Drug
Pharmacy, Community/Retail Pharmacy in Jackson, WY. National Provider Identifier 1003943176, active.
NPI record
| NPI | 1003943176 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 830 West Broadway, Box 9000, Jackson, WY 83001 |
| Practice phone | 307-733-9768 |
| Mailing address | Po Box 9000, 830 West Broadway, Jackson, WY 83002 |
| Enumerated | February 27, 2007 |
| Last updated | March 7, 2023 |
| Authorized official | John Crook, President, Pic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 107114901 (WY) |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | 52-02356 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.