Organization
GREYBULL DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS A. DAVIDSON PHARMD (REGISTERED AGENT)
(307) 921-1228
Entity
Organization
Contact information
Practice address
925 N 6TH ST, GREYBULL, WY 82426-1610
(307) 765-4601
(307) 765-4600
Mailing address
925 N 6TH ST, GREYBULL, WY 82426-1610
(307) 765-4601
(307) 765-4600
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153618400
—
WY
Enumeration date
02/09/2019
Last updated
11/11/2025
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