Emissary Hmo Pharmacy

LBN: Emissary Professional Group
Emissary Hmo Pharmacy is an health care organization with primary practice located at 2546 E 2Nd St Bldg 100, Casper WY 82609-2062. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Mail Order Pharmacy is the primary health care specialty. Emissary Professional Group can be contacted via phone (307) 237-7751, or through Renz, Timothy via phone (307) 472-0597.

Contact Information

Primary practice address
2546 E 2Nd St Bldg 100 Casper WY 82609-2062
Phone: (307) 237-7751
Fax: (307) 237-7448
Website:
Map and Directions
Authorized official contact:
Name: Renz, Timothy RPH
Phone: (307) 472-0597

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Mail Order Pharmacy 3336M0002X 52-03586 Wyoming

Profile Details

NPI number 1568640928
LBN Legal business name Emissary Professional Group
DBA Doing business as Emissary Hmo Pharmacy
Authorized official Renz, Timothy RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2008
Last updated Oct 6th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568640928 NPPES
Other 5203586 NCPDP PROVIDER IDENTIFICATION NUMBER

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