Organization
ABOVE PAR PC
Active
Other names
MEDICAP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN HOOKER RPH (PHARMACIST OWNER)
(307) 685-6985
Entity
Organization
Contact information
Practice address
501 E LAKEWAY RD, SUITE A, GILLETTE, WY 82718-6416
(307) 685-6985
(307) 685-6988
Mailing address
PO BOX 1202, GILLETTE, WY 82717-1202
(307) 670-0464
(307) 459-6965
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
WY
3336C0003X
Community/Retail Pharmacy
Primary
5203562
WY
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114706400
—
WY
05
—
114706401
—
WY
01
—
1891861902
NPI
—
01
—
5203562
STATE PHARMACY LICENSE
WY
Enumeration date
11/28/2006
Last updated
04/03/2023
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