NPI 1346343498 · live from the CMS NPI Registry
Star Valley Drug Co
Pharmacy, Community/Retail Pharmacy in Thayne, WY. National Provider Identifier 1346343498, active.
NPI record
| NPI | 1346343498 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 190 N Main, Thayne, WY 83127 |
| Practice phone | 307-883-4600 |
| Mailing address | Po Box 1006, 190 N Main, Thayne, WY 83127 |
| Enumerated | September 6, 2006 |
| Last updated | June 18, 2008 |
| Authorized official | Paul Stauffer, President |
| Other names | Lower Valley Drug |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | 5203031 (WY) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.