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General NPI Number Information
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NPI Number | 1578368544
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Entity Type | Organization
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Legal Business Name | CITY DRUG PHARMACY
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Dates
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Enumeration Date | 02/14/2025
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 309 W LINCOLNWAY
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City | CHEYENNE
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State | WY
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Zip | 82001-4437
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Country | US
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Telephone | 307-514-0200
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Fax | 833-384-2597
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Provider Business Mailing Address
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Address Line | 1722 CAREY AVE
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City | CHEYENNE
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State | WY
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Zip | 82001-4420
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Country | US
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Telephone | 307-514-0200
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Fax | 833-384-2597
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Authorized Official
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Title or Position | OWNER
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Name | LUCAS HAUGH
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Credential |
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Telephone | 970-556-5698
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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