Organization
POLE MOUNTAIN PHARMACY LLC
Active
Organization
POLE MOUNTAIN PHARMACY LLC
Active
Other names
Pole Mountain Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT KVENILD RPH (MEMBER)
(307) 460-4080
Entity
Organization
Contact information
Practice address
319 E HARNEY ST, LARAMIE, WY 82072-2523
(307) 460-4080
(307) 460-4082
Mailing address
319 E HARNEY ST, LARAMIE, WY 82072-2523
(307) 460-4080
(307) 460-4082
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
07/27/2026
Last updated
07/27/2026
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