NPI 1720077837 · live from the CMS NPI Registry
Express Pharmacy
Pharmacy in Laramie, WY. National Provider Identifier 1720077837, active.
NPI record
| NPI | 1720077837 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 4005 E Grand Ave, Laramie, WY 82070 |
| Practice phone | 307-745-1557 |
| Enumerated | October 20, 2005 |
| Last updated | August 22, 2020 |
| Authorized official | David Athey, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy primary | 333600000X | 5203485 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.