Organization
THE DRUG STORE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT B. AVERY RPH (PRESIDENT)
(307) 787-6756
Entity
Organization
Contact information
Practice address
106 S. MAIN ST., LYMAN, WY 82937
(307) 787-6756
(307) 787-3792
Mailing address
PO BOX 1700, 106 S. MAIN ST., LYMAN, WY 82937
(307) 787-6756
(307) 787-3792
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1731
WY
3336C0003X
Community/Retail Pharmacy
5202407
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5202407
NABP NUMBER
WY
Enumeration date
07/28/2006
Last updated
09/11/2025
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