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South Street Pharmacy, Llc
Pharmacy in Wheatland, Wyoming
NPI 1639482532

South Street Pharmacy, Llc is a Pharmacy based in Wheatland, WY. South Street Pharmacy, Llc practices in Wheatland, WY. The NPI Number for South Street Pharmacy, Llc is 1639482532 and holds a License No. (Wyoming).

The current practice location address for South Street Pharmacy, Llc is 1456 South St, Wheatland, WY and can be reached out via phone at 307-322-2486.

Location: 1456 South St, Wheatland, WY, 82201-2736
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639482532
Provider Name
South Street Pharmacy, Llc
Credential
Provider Entity Type
Organization
Address
1456 South St, Wheatland, WY, 82201-2736
Phone Number
307-322-2486
Fax Number
Provider Enumeration Date
07/20/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
129737600 05 WY
institution
Provider Business Practice Location Address Details
Address
1456 South St
City
Wheatland
State
Wyoming
Zip
82201-2736
Phone Number
307-322-2486
Fax Number
person
Provider Business Mailing Address Details
Address
1456 South St
City
Wheatland
State
Wyoming
Zip
82201-2736
Phone Number
307-322-2486
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
R10063 (Wyoming)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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