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Organization

SPAMONY20 LLC

Active
Other names
Corner Stone Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
CHADWICK BARDWELL SOMMERS (PHARM D/OWNER/PIC)
(307) 620-7071
Entity
Organization

Contact information

Practice address
150 E HART ST, BUFFALO, WY 82834-1705
(307) 620-7071
Mailing address
150 E HART ST, BUFFALO, WY 82834-1705
(307) 620-7071
(307) 278-0282

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
WY20578
WY
Enumeration date
08/28/2019
Last updated
12/12/2025
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