Healthcare Provider Details

I. General information

NPI: 1295458123
Provider Name (Legal Business Name): CARRIE MONROE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2022
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1865 COFFEEN AVE
SHERIDAN WY
82801-5711
US

IV. Provider business mailing address

4 ROBIN LN
SHERIDAN WY
82801-8536
US

V. Phone/Fax

Practice location:
  • Phone: 307-672-8908
  • Fax:
Mailing address:
  • Phone: 307-217-3258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number4818
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: