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NPI Code Detail

MEDICARE: VANDEL DRUGS, INC.

MEDICARE: VANDEL DRUGS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies5200922WY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15200922OTHERWYNABP #

General Provider Information

NPI Number : 1285629105
Entity Type Code : Organization
Provider Name (Legal Business Name) : VANDEL DRUGS, INC.
Provider Business Mailing Address
First Line : 2041 MAIN ST
Second Line :
City : TORRINGTON
State : WY
Zip : 82240-2708
Country : US
Telephone Number : 307-532-2214
Fax Number : 307-532-2298
Provider Business Practice Location Address
First Line : 2041 MAIN ST
Second Line :
City : TORRINGTON
State : WY
Zip : 82240-2708
Country : US
Telephone Number : 307-532-2214
Fax Number : 307-532-2298
Authorized Official
Title or Position : OWNER
Name : MR. JOHN J VANDEL
Credential :
Telephone Number : 307-532-2214
Provider Enumeration Date : 09/16/2005
Last Update Date : 03/07/2023

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