Emissary Professional Group

NPI #1568640928 in Casper, Wyoming

Provider Information

NPI Number: 1568640928
Entity Type: Organization
Organization Name: Emissary Professional Group
Primary Specialty: Pharmacy - Mail Order Pharmacy
Enumeration Date: Feb 7, 2008
Last Updated: Oct 6, 2010

Practice Location

Address: 2546 E 2ND ST
Address 2: BLDG 100
City: Casper
State: Wyoming
ZIP Code: 82609-2062
Phone: (307) 237-7751

Authorized Official

Name: TIMOTHY RENZ, RPH
Title: OWNER
Phone: (307) 472-0597

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X
Pharmacy - Mail Order Pharmacy — Mail Order Pharmacy	3336M0002X	Primary

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