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Organization

DLN PC

Active
Other names
Town and Country Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID NOVICK (OWNER)
(307) 634-6662
Entity
Organization

Contact information

Practice address
514 S GREELEY HWY, CHEYENNE, WY 82007-2852
(307) 634-6662
(307) 634-6670
Mailing address
514 S GREELEY HWY, CHEYENNE, WY 82007-2852
(307) 634-6662
(307) 634-6670

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
R10060
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1942527080
WY
01
5204297
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
04/29/2010
Last updated
02/17/2012
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