NPI 1508426081
Pioneer Pharmacy, LLC
Practice location
- Address
- 832 W Main St, Riverton, WY 82501-3342
- Phone
- (307) 463-8400
- Fax
- (307) 463-8401
- Mailing address
- 131 8 Mile Rd, Riverton, WY 82501-9774
Authorised official
- Name
- Sommer Pedersen
- Title
- Owner and Manager
- Phone
- (307) 463-8400
Registered specialties (3)
Pharmacy
Primary
Community/Retail Pharmacy
Compounding Pharmacy
Registry record
- NPI
- 1508426081
- Entity type
- Organization
- NPI issued
- 18 Jun 2019
- Record last updated
- 18 Jun 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.