Organization
COMMUNITY PHARMACIES INC
Active
Other names
VILAS TELEPHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LORI SPERRY (OFFICE MANAGER/AO)
(307) 283-3883
Entity
Organization
Contact information
Practice address
208 N BIG HORN, MOORCROFT, WY 82721
(307) 756-3966
(307) 283-3884
Mailing address
PO BOX 528, MOORCROFT, WY 82721-0528
(307) 756-3966
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RT1004
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150326000
—
WY
01
—
2176655
PK
—
Enumeration date
03/30/2018
Last updated
03/20/2020
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