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The Drug Store Inc.

The Drug Store Inc. is a health care provider in Lyman, WY. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 106 S. Main St., Lyman, WY 82937, US
Practice Location Phone307-787-6756
Practice Location Fax307-787-3792
Legal Business NameTHE DRUG STORE INC.
NPI ?1033123989
Entity TypeOrganization
Enumeration Date ? Jul 28, 2006
Last Update Date ? Jul 8, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of The Drug Store Inc.

SpecialtySpecializationLicenseLicense State
Pharmacist 1731Wyoming
PharmacyCommunity/Retail Pharmacy 5202407Wyoming

legacy-id-icon Legacy Provider IDs of The Drug Store Inc.

Provider IdIssuer StateIssuer TypeIssuer
5202407WyomingOtherNABP NUMBER

official-icon Authorized Official of The Drug Store Inc.

An authorized official is an appointed official with the legal authority to make changes and/or updates to the The Drug Store Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Robert B. Avery (RPH)
Authorized Official Title/PositionPRESIDENT
Authorized Official Phone Number307-787-6756