South Street Pharmacy, LLC

NPI #1639482532 in Wheatland, Wyoming

Provider Information

NPI Number: 1639482532
Entity Type: Organization
Organization Name: South Street Pharmacy, LLC
Primary Specialty: Pharmacy
Enumeration Date: Jul 20, 2010
Last Updated: Aug 21, 2013

Practice Location

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

Authorized Official

Name: CORINDA L GEILE, RPH
Title: PRESIDENT/OWNER
Phone: (307) 322-2486

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy	333600000X	Primary

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