Healthcare Provider Details

I. General information

NPI: 1538152277
Provider Name (Legal Business Name): BEMIS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

861 GILCHRIST ST SUITE A
WHEATLAND WY
82201-2929
US

IV. Provider business mailing address

861 GILCHRIST ST SUITE A
WHEATLAND WY
82201-2929
US

V. Phone/Fax

Practice location:
  • Phone: 307-322-9292
  • Fax: 307-322-5970
Mailing address:
  • Phone: 307-322-9292
  • Fax: 307-322-5970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number5282201
License Number StateWY
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number5282201
License Number StateWY

VIII. Authorized Official

Name: MR. KIRK F BEMIS
Title or Position: PHARMACIST
Credential: RPH.
Phone: 307-322-9292