NPI 1104965003 · live from the CMS NPI Registry
Powell Valley Health Care, INC.
Pharmacy, Institutional Pharmacy in Powell, WY. National Provider Identifier 1104965003, active.
NPI record
| NPI | 1104965003 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Institutional Pharmacy 3336I0012X |
| Practice location | 777 Avenue H, Powell, WY 82435 |
| Practice phone | 307-754-1125 |
| Enumerated | February 6, 2007 |
| Last updated | March 7, 2023 |
| Authorized official | Terry Odom, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Long Term Care Pharmacy | 3336L0003X | 5201342 (WY) |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — |
| Pharmacy, Institutional Pharmacy primary | 3336I0012X | 5201342 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.