Organization
VANDEL DRUG LLC
Active
Other names
Vandel Drug
Organization subpart
No
Provider details
NPI number
Authorized official
VICKILEE KNIGHT EINHELLIG (MANAGING PARTNER)
(970) 461-1975
Entity
Organization
Contact information
Practice address
2041 MAIN STREET, TORRINGTON, WY 82240
(307) 532-2214
(307) 532-7136
Mailing address
3780 E 15TH STREET, SUITE 102, LOVELAND, CO 80538
(970) 461-1975
(970) 461-4042
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
R10062
WY
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2125453
PK
—
Enumeration date
01/04/2006
Last updated
06/28/2018
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