Organization
RICKER DRUG INC
Active
Other names
RICKER PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF YULE (OWNER)
(307) 347-2281
Entity
Organization
Contact information
Practice address
1801 BIG HORN AVE, WORLAND, WY 82401-2912
(307) 347-2281
(307) 347-3736
Mailing address
PO BOX 11, WORLAND, WY 82401-0011
(307) 347-2281
(307) 347-3736
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
R10027
WY
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106164000
—
WY
01
—
2111172
PK
—
Enumeration date
08/31/2006
Last updated
09/16/2014
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