MEDICARE: PHARMAKON SOLUTIONS, LLC

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
1	251B00000X	Case Management Agency
2	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1417353517
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMAKON SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	1621 CENTRAL AVE
Second Line	:
City	:	CHEYENNE
State	:	WY
Zip	:	82001-4531
Country	:	US
Telephone Number	:	949-637-9328
Fax Number	:

Provider Business Practice Location Address
First Line	:	1621 CENTRAL AVE
Second Line	:
City	:	CHEYENNE
State	:	WY
Zip	:	82001-4531
Country	:	US
Telephone Number	:	949-637-9328
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	KIRK A ODOM
Credential	:
Telephone Number	:	949-637-9328

Provider Enumeration Date	:	11/17/2014
Last Update Date	:	08/19/2015

Similar Medicare Providers

1477049567 — COMPASS COUNSELING LLC
Practice Location Address:

1623 CENTRAL AVE STE 154
CHEYENNE, WY
82001-4531

Practice Phone: 307-509-9237
Practice Fax:

1467123349 — MR. STEPHEN A BRONSON
Practice Location Address:

1623 CENTRAL AVE STE 202
CHEYENNE, WY
82001-4531

Practice Phone: 307-314-9789
Practice Fax:

1275340002 — GRACE HOME HOSPICE INC.
Practice Location Address:

1623 CENTRAL AVE STE 216
CHEYENNE, WY
82001-4531

Practice Phone: 307-201-2022
Practice Fax:

1851197610 — SNOW DAY PSYCHIATRY LLC
Practice Location Address:

1621 CENTRAL AVE STE 8211
CHEYENNE, WY
82001-4531

Practice Phone: 73-872-0013
Practice Fax: 307-387-2004

1528855194 — ABUNDANTLY FRUITFUL
Practice Location Address:

1621 CENTRAL AVE STE 8525
CHEYENNE, WY
82001-4531

Practice Phone: 626-716-7390
Practice Fax:

1245022615 — CENTRICARE BENEFITS LLC
Practice Location Address:

1621 CENTRAL AVE
CHEYENNE, WY
82001-4531

Practice Phone: 214-984-1306
Practice Fax:

Directions to “PHARMAKON SOLUTIONS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.