Organization
EXPRESS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ATHEY R.PH. (OWNER)
(307) 745-1557
Entity
Organization
Contact information
Practice address
4005 E GRAND AVE, LARAMIE, WY 82070-5161
(307) 745-1557
(307) 742-0787
Mailing address
4005 E GRAND AVE, LARAMIE, WY 82070-5161
(307) 745-1557
(307) 742-0787
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5203485
WY
Other
Enumeration date
10/20/2005
Last updated
08/22/2020
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