NPI 1821148818 · live from the CMS NPI Registry
Mcrae INC
Pharmacy in Lander, WY. National Provider Identifier 1821148818, active.
NPI record
| NPI | 1821148818 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 745 Main Street, Lander, WY 82520 |
| Practice phone | 307-332-5712 |
| Mailing address | 175 Lincon Street, Lander, WY 82520 |
| Enumerated | January 11, 2007 |
| Last updated | July 9, 2008 |
| Authorized official | Raymond Mcrae, Pharmacist Owner |
| Other names | Mcrae, INC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy primary | 333600000X | 52-00528 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.