Organization
ROBERT H BAILEY
Active
Organization
ROBERT H BAILEY
Active
Other names
FRONTIER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BAILEY (OWNER)
(402) 366-1417
Entity
Organization
Contact information
Practice address
501 NICHOLS ST, BIG PINEY, WY 83113
(307) 276-3499
(307) 276-3518
Mailing address
PO BOX 990, BIG PINEY, WY 83113-0990
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
R10036
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12584000
—
WY
01
—
5202584
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/13/2007
Last updated
06/19/2012
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