Whalio Doctors

NPI 1508426081

Pioneer Pharmacy, LLC

Organisation Pharmacy Riverton, WY

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
Suppliers Taxonomy 333600000X
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X
Compounding Pharmacy
Suppliers Taxonomy 3336C0004X

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.