Above Par PC

Organization Active NPI Community/Retail Pharmacy · Gillette, WY

NPI 1891861902 · NPPES record last updated Apr 3, 2023

Key facts

NPI
1891861902
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
5203562 (WY)
Legal business name
ABOVE PAR PC
Practice address
501 E Lakeway Rd
Suite a
Gillette, WY 82718-6416
Phone
(307) 685-6985
Fax
(307) 685-6988
NPI assigned
Nov 28, 2006
Organization subpart
No

Authorized official

Name
Susan Hooker, RPH
Title
Pharmacist Owner
Phone
(307) 685-6985

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

501 E Lakeway Rd
Gillette, WY 82718
Phone (307) 685-6985

501 E Lakeway Rd
Ste A
Gillette, WY 82718
Phone (307) 685-6985

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X WY
Community/Retail Pharmacy 3336C0003X 5203562 WY Yes
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

501 E Lakeway Rd
Suite a
Gillette, WY 82718-6416

Mailing address

PO Box 1202
Gillette, WY 82717-1202
Phone (307) 670-0464

Other identifiers

IdentifierTypeStateIssuer
114706401MedicaidWY
114706400MedicaidWY
1891861902OtherNPI
5203562OtherWYSTATE PHARMACY LICENSE

Other names

  • MEDICAP PHARMACY Doing business as

Other providers in Gillette, WY

All providers in Gillette, WY · Community/Retail Pharmacy in Wyoming

Sources for this page

Verify at the official NPI Registry.