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Organization
WIND RIVER FAMILY AND COMMUNITY HEALTH PHARMACY
Active
Organization
WIND RIVER FAMILY AND COMMUNITY HEALTH PHARMACY
Active
Other names
Wind River Family and Community Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN OLAND (PHARMACY DIRECTOR)
(307) 857-9490
Entity
Organization
Contact information
Practice address
14 GREAT PLAINS RD, ARAPAHO, WY 82510
(307) 857-9491
(307) 856-9403
Mailing address
PO BOX 1310, RIVERTON, WY 82501-0158
(307) 857-9491
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157957
PK
—
Enumeration date
01/06/2016
Last updated
01/31/2020
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