Pole Mountain Pharmacy

LBN: Pole Mountain Pharmacy Llc
Pole Mountain Pharmacy is an health care organization with primary practice located at 319 E Harney St , Laramie WY 82072-2523. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Pole Mountain Pharmacy Llc can be contacted via phone (307) 460-4080, or through Kvenild, Brett via phone (307) 460-4080.

Contact Information

Primary practice address
319 E Harney St Laramie WY 82072-2523
Phone: (307) 460-4080
Fax: (307) 460-4082
Website:
Map and Directions
Authorized official contact:
Name: Kvenild, Brett RPH
Phone: (307) 460-4080

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X R10169 Wyoming

Profile Details

NPI number 1013422971
LBN Legal business name Pole Mountain Pharmacy Llc
DBA Doing business as Pole Mountain Pharmacy
Authorized official Kvenild, Brett RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2017
Last updated Dec 13th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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