NPI 1568640928 · live from the CMS NPI Registry
Emissary Professional Group
Pharmacy, Mail Order Pharmacy in Casper, WY. National Provider Identifier 1568640928, active.
NPI record
| NPI | 1568640928 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Mail Order Pharmacy 3336M0002X |
| Practice location | 2546 E 2nd St, Bldg 100, Casper, WY 82609 |
| Practice phone | 307-237-7751 |
| Enumerated | February 7, 2008 |
| Last updated | October 6, 2010 |
| Authorized official | Timothy Renz, Owner |
| Other names | Emissary Hmo Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | — |
| Pharmacy, Mail Order Pharmacy primary | 3336M0002X | 52-03586 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.