Valley Pharmacy

LBN: Professional Pharmacy, Inc.
Valley Pharmacy is an health care organization with primary practice located at 101 Constitution Ave. , Saratoga WY 82331. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Professional Pharmacy, Inc. can be contacted via phone (307) 326-5129, or through Waeckerlin, Rod via phone (307) 320-8482.

Contact Information

Primary practice address
101 Constitution Ave. Saratoga WY 82331
Fax: (307) 326-5165
Website:
Authorized official contact:
Name: Waeckerlin, Rod

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 52-03120 Wyoming

Profile Details

NPI number 1316087299
LBN Legal business name Professional Pharmacy, Inc.
DBA Doing business as Valley Pharmacy
Authorized official Waeckerlin, Rod
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2007
Last updated Feb 10th, 2022 - about 3 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 1316087299 NPPES
Wyoming MEDICAID 111302000
Wyoming Other 2111536

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