Organization
LOVELL DRUG COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT REASCH (PHARMACIST AND OWNER)
(307) 548-7231
Entity
Organization
Contact information
Practice address
164 E MAIN ST, LOVELL, WY 82431-2004
(307) 548-7231
(307) 548-7371
Mailing address
PO BOX 847, LOVELL, WY 82431-0847
(307) 548-7231
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5200631
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104286600
—
WY
01
—
2111151
PK
—
Enumeration date
03/05/2007
Last updated
01/17/2017
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