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NPI 1720789043

NPI 1720789043 : HOSPITAL PHARMACY INC : SHERIDAN, WY

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General NPI Number Information
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    NPI Number           |    1720789043
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOSPITAL PHARMACY INC 
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Dates
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    Enumeration Date     |    03/14/2023
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    Last Update Date     |    03/14/2023
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Provider Practice Location Address
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    Address Line         |    1333 WEST W 5TH ST STE 107 
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    City                 |    SHERIDAN
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    State                |    WY
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    Zip                  |    82801
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    Country              |    US
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    Telephone            |    307-673-3188
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    Fax                  |    307-673-3190
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Provider Business Mailing Address
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    Address Line         |    1333 WEST W 5TH ST STE 107 
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    City                 |    SHERIDAN
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    State                |    WY
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    Zip                  |    82801
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    Country              |    US
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    Telephone            |    307-673-3188
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    Fax                  |    307-673-3190
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Authorized Official
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    Title or Position    |    OWNER/PIC
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    Name                 |     MATTHEW JAMES MEYER 
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    Credential           |    PHARM-D
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    Telephone            |    307-673-3188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336L0003X
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    Taxonomy Name        |    Long Term Care Pharmacy
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    License Number       |    
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    License Number State |    
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