Organization
PROFESSIONAL PHARMACY INC
Active
Organization
PROFESSIONAL PHARMACY INC
Active
Other names
BI RITE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ENGSTROM (OFC MNGR)
(307) 324-3403
Entity
Organization
Contact information
Practice address
300 3RD ST, RAWLINS, WY 82301-5612
(307) 324-3403
(307) 324-5099
Mailing address
PO BOX 699, RAWLINS, WY 82301-0699
(307) 324-3403
(307) 324-5099
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5202786
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104131200
—
WY
01
—
2111469
PK
—
Enumeration date
01/08/2007
Last updated
04/21/2015
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