Organization
UINTA FAMILY PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYCE HABEL PHARMD (PHARMACY OWNER)
(307) 786-2222
Entity
Organization
Contact information
Practice address
2822 HIGHWAY 414, LYMAN, WY 82937-9135
(307) 786-2222
(866) 846-7151
Mailing address
2822 HIGHWAY 414, LYMAN, WY 82937-9135
(307) 786-2222
(866) 846-7151
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
03/31/2023
Last updated
08/07/2024
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