Wellformed AI

NPI 1659429660 · live from the CMS NPI Registry

Professional Pharmacy INC

Pharmacy, Community/Retail Pharmacy in Rawlins, WY. National Provider Identifier 1659429660, active.

NPI record

NPI1659429660 Type 2 · organization
StatusActive
Primary specialtyPharmacy, Community/Retail Pharmacy 3336C0003X
Practice location300 3rd St, Rawlins, WY 82301
Practice phone307-324-3403
Mailing addressPo Box 699, Rawlins, WY 82301
EnumeratedJanuary 8, 2007
Last updatedApril 21, 2015
Authorized officialLisa Engstrom, Ofc Mngr
Other namesBi Rite Pharmacy

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacy333600000X—
Pharmacy, Community/Retail Pharmacy primary3336C0003X5202786 (WY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.