Laya's Main Street Pharmacy

NPI 1285835553 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1285835553
Enumeration Date 05/31/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SUZ SUZ
Position CPHT
Phone (307) 672-3741
Fax
Practice Location
555 N MAIN ST
SHERIDAN WY, 82801-3630, US
Phone (307) 672-3741
Fax
Business Location
555 N MAIN ST
P.O. BOX 6283
SHERIDAN WY, 82801-3630, US
Phone (307) 672-3741
Fax
Toxanomy
Taxonomy Code 332B00000X
License State Wyoming
License Number 5282801
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According to our database, Laya's Main Street Pharmacy NPI is 1285835553, taxonomy code is 332B00000X and license number is 5282801, license state is located at Wyoming. Laya's Main Street Pharmacy physically located at 555 N Main St, Sheridan WY, 82801-3630. NPI Number 1033115704 has the healthcare provider type.

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1285835553 NPI number is provided on an as is basis without warranty of any kind. 1285835553 is maintained by the National Plan & Provider Enumeration System. The contents of Laya's Main Street Pharmacy are for informational purposes only.