Pole Mountain Pharmacy LLC

NPI #1013422971 in Laramie, Wyoming

Provider Information

NPI Number
1013422971
Entity Type
Organization
Organization Name
Pole Mountain Pharmacy LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Dec 13, 2017
Last Updated
Dec 13, 2019

Practice Location

Address
319 E HARNEY ST
State
Wyoming
ZIP Code
82072-2523
Phone
(307) 460-4080

Authorized Official

Name
BRETT KVENILD, RPH
Title
MANAGER
Phone
(307) 460-4080

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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