NPI 1700910411 · live from the CMS NPI Registry
South Lincoln Hospital District
Pharmacy, Institutional Pharmacy in Kemmerer, WY. National Provider Identifier 1700910411, active.
NPI record
| NPI | 1700910411 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Institutional Pharmacy 3336I0012X |
| Practice location | 711 Onyx St, Kemmerer, WY 83101 |
| Practice phone | 307-877-4401 |
| Enumerated | March 15, 2007 |
| Last updated | January 5, 2012 |
| Authorized official | Eric Boley, Ceo |
| Other names | South Lincoln Medical Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Long Term Care Pharmacy | 3336L0003X | 52-03675 (WY) |
| Pharmacy, Institutional Pharmacy primary | 3336I0012X | 52-03675-IP (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.