Carol Ann Deno, RPH

Individual provider Active NPI Pharmacist · Big Piney, WY

NPI 1265583082 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1265583082
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
1892 (WY)
Practice address
501 North Nichols St.
Big Piney, WY 83113
Phone
(307) 276-3499
Fax
(307) 276-3518
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
1892WYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert H Bailey Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1892 WY Yes

Addresses

Primary practice location

501 North Nichols St.
Big Piney, WY 83113

Mailing address

PO Box 4553
Marbleton, WY 83113-4553
Phone (307) 276-3499

Other providers in Big Piney, WY

All providers in Big Piney, WY · Pharmacist in Wyoming

Sources for this page

Verify at the official NPI Registry.