Organization
PROFESSIONAL PHARMACY INC
Active
Other names
VALLEY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROD F WAECKERLIN (OWNER)
(307) 326-5129
Entity
Organization
Contact information
Practice address
101 CONSTITUTION AVE, SARATOGA, WY 82331
(307) 326-5129
(307) 326-5165
Mailing address
101 CONSTITUTION AVE, SARATOGA, WY 82331
(307) 326-5129
(307) 326-5165
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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