NPI 1578268413 · live from the CMS NPI Registry
Uinta Family Pharmacy, LLC
Pharmacy in Lyman, WY. National Provider Identifier 1578268413, active.
NPI record
| NPI | 1578268413 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 2822 Highway 414, Lyman, WY 82937 |
| Practice phone | 307-786-2222 |
| Enumerated | March 31, 2023 |
| Last updated | August 7, 2024 |
| Authorized official | Bryce Habel, Pharmacy Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Durable Medical Equipment & Medical Supplies, Customized Equipment | 332BC3200X | — |
| Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | 332BN1400X | — |
| Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | 332BP3500X | — |
| Pharmacy primary | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — |
| Pharmacy, Compounding Pharmacy | 3336C0004X | — |
| Pharmacy, Specialty Pharmacy | 3336S0011X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.