Organization
STAR VALLEY DRUG CO
Active
Organization
STAR VALLEY DRUG CO
Active
Other names
LOWER VALLEY DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL STAUFFER (PRESIDENT)
(307) 885-9804
Entity
Organization
Contact information
Practice address
190 N MAIN, THAYNE, WY 83127-1006
(307) 883-4600
Mailing address
PO BOX 1006, 190 N MAIN, THAYNE, WY 83127-1006
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
5203031
WY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0028895
—
WY
05
—
110016500
—
WY
01
—
5203031
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/06/2006
Last updated
06/18/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up