Professional Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Rawlins, WY
NPI 1659429660 · NPPES record last updated Apr 21, 2015
Key facts
- NPI
- 1659429660
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 5202786 (WY)
- Legal business name
- PROFESSIONAL PHARMACY INC
- Practice address
- 300 3Rd St
Rawlins, WY 82301-5612 - Phone
- (307) 324-3403
- Fax
- (307) 324-5099
- NPI assigned
- Jan 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Lisa Engstrom
- Title
- Ofc MNGR
- Phone
- (307) 324-3403
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5202786 | WY | Yes |
Addresses
Primary practice location
300 3Rd St
Rawlins, WY 82301-5612
Mailing address
PO Box 699
Rawlins, WY 82301-0699
Phone (307) 324-3403
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104131200 | Medicaid | WY | |
| 2111469 | Other | PK |
Other names
- BI RITE PHARMACY
Other providers in Rawlins, WY
- Ricardo Prado
- Praxis Wellness
- Premium Health at Home Rawlins LLC
- Professional Oxygen Supply Inc.
- Professional Oxygen Supply Inc.
- Jared Pulliam
- Purple Sage Tele-Home Health LLC
- Rawlins Family Medical, PC
- Rawlins Family Mental Health Center, LLC
- Rawlins Fire Department
All providers in Rawlins, WY · Community/Retail Pharmacy in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.