NPI 1013422971
Pole Mountain Pharmacy LLC
Practice location
- Address
- 319 E Harney St, Laramie, WY 82072-2523
- Phone
- (307) 460-4080
- Fax
- (307) 460-4082
- Mailing address
- PO Box 1717, Laramie, WY 82073-1717
Authorised official
- Name
- Brett Kvenild
- Title
- Manager
- Phone
- (307) 460-4080
Registered specialties (2)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1013422971
- Entity type
- Organization
- NPI issued
- 13 Dec 2017
- Record last updated
- 13 Dec 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.