Organization
BASIN PHARMACY LLC
Active
Other names
Craig A Jones
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG A JONES RPH (OWNER)
(307) 568-3636
Entity
Organization
Contact information
Practice address
405 W C ST, BASIN, WY 82410
(307) 568-3636
(307) 568-3688
Mailing address
PO BOX 570, BASIN, WY 82410-0570
(307) 568-3636
(307) 568-3688
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5203815
WY
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121091201
—
WY
Enumeration date
08/10/2006
Last updated
03/19/2025
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