NPI 1407859911 · live from the CMS NPI Registry
Deer Creek Drug
Pharmacy in Glenrock, WY. National Provider Identifier 1407859911, active.
NPI record
| NPI | 1407859911 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 215 South 4th Street, Glenrock, WY 82637 |
| Practice phone | 307-436-9611 |
| Mailing address | Po Box 940, Glenrock, WY 82637 |
| Enumerated | May 31, 2005 |
| Last updated | August 22, 2020 |
| Authorized official | Daniel Schreiner, Partner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy primary | 333600000X | 5202471 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.