Healthcare Provider Details

I. General information

NPI: 1629476270
Provider Name (Legal Business Name): COMMUNITY PHARMACIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2014
Last Update Date: 09/14/2022
Certification Date: 09/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 E MAIN STREET
SUNDANCE WY
82729-0547
US

IV. Provider business mailing address

PO BOX 1215
PIERRE SD
57501-0000
US

V. Phone/Fax

Practice location:
  • Phone: 307-283-3883
  • Fax: 307-283-3884
Mailing address:
  • Phone: 605-224-4538
  • Fax: 605-522-8027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberR10139
License Number StateWY
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES STEPHENS
Title or Position: PRESIDENT-OWNER
Credential:
Phone: 605-224-4538