Wellformed AI

NPI 1992340475 · live from the CMS NPI Registry

Professional Pharmacy INC

Pharmacy, Community/Retail Pharmacy in Saratoga, WY. National Provider Identifier 1992340475, active.

NPI record

NPI1992340475 Type 2 · organization
StatusActive
Primary specialtyPharmacy, Community/Retail Pharmacy 3336C0003X
Practice location101 Constitution Ave, Saratoga, WY 82331
Practice phone307-326-5129
EnumeratedNovember 8, 2019
Last updatedNovember 8, 2019
Authorized officialRod Waeckerlin, Owner
Other namesValley Pharmacy

Taxonomies and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies332B00000X—
Pharmacy, Community/Retail Pharmacy primary3336C0003X—

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