South Street Pharmacy, LLC

NPI #1215781000 in Wheatland, Wyoming

Provider Information

NPI Number
1215781000
Entity Type
Organization
Organization Name
South Street Pharmacy, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
SOUTH STREET PHARMACY
Primary Specialty
Pharmacy - Long Term Care Pharmacy
Enumeration Date
Apr 16, 2024
Last Updated
Apr 16, 2024

Practice Location

Address
1456 SOUTH ST
State
Wyoming
ZIP Code
82201-2736
Phone
(307) 322-2486

Authorized Official

Name
MRS. CORINDA LEE GEILE, RPH
Title
OWNER/PIC
Phone
(307) 331-2784

Specialties & Taxonomy Codes

Specialty
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy

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