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
Authorized Official
- Name
- MRS. CORINDA LEE GEILE, RPH
- Title
- OWNER/PIC
- Phone
- (307) 331-2784
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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| Weston County Hospital District | |
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| Cde LLC Part of Cde, LLC |
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