Organization
LAYA'S MAIN STREET PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN HOOKER RPH (OWNER)
(307) 672-3741
Entity
Organization
Contact information
Practice address
555 N MAIN ST, SHERIDAN, WY 82801-3630
(307) 672-3741
(307) 674-0563
Mailing address
555 N MAIN ST, SHERIDAN, WY 82801-3630
(307) 672-3741
(307) 674-0563
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5282801
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000211003
—
MT
Enumeration date
01/16/2006
Last updated
08/22/2020
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