DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: EXPRESS PHARMACY

MEDICARE: EXPRESS PHARMACY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy5203485WY

General Provider Information

NPI Number : 1720077837
Entity Type Code : Organization
Provider Name (Legal Business Name) : EXPRESS PHARMACY
Provider Business Mailing Address
First Line : 4005 E GRAND AVE
Second Line :
City : LARAMIE
State : WY
Zip : 82070-5161
Country : US
Telephone Number : 307-745-1557
Fax Number : 307-742-0787
Provider Business Practice Location Address
First Line : 4005 E GRAND AVE
Second Line :
City : LARAMIE
State : WY
Zip : 82070-5161
Country : US
Telephone Number : 307-745-1557
Fax Number : 307-742-0787
Authorized Official
Title or Position : OWNER
Name : DAVID ATHEY
Credential : R.PH.
Telephone Number : 307-745-1557
Provider Enumeration Date : 10/20/2005
Last Update Date : 08/22/2020

Similar Medicare Providers

1295669356 — DR. THAXTON COOK
Practice Location Address:
4005 E GRAND AVE
LARAMIE, WY
82070-5161
Practice Phone: 307-745-1557
Practice Fax: 307-742-0787
1659369668 — BRETT KVENILD R.PH.
Practice Location Address:
4005 E GRAND AVE
LARAMIE, WY
82070-5161
Practice Phone: 307-745-1557
Practice Fax: 307-742-0787
1134463359 — WALGREEN CO
Practice Location Address:
4005 E GRAND AVE
LARAMIE, WY
82070-5161
Practice Phone: 307-745-1557
Practice Fax: 307-742-0787
1376984401 — DR. EVAN RIDLEY CRUMP PHARMD
Practice Location Address:
4005 E GRAND AVE
LARAMIE, WY
82070-5161
Practice Phone: 307-745-1557
Practice Fax: 307-742-0787
1487156824 — AUSTIN BAKER PHARMD
Practice Location Address:
4005 E GRAND AVE
LARAMIE, WY
82070-5161
Practice Phone: 307-742-1557
Practice Fax: 307-742-0787
1154819142 — MEGAN DANIELLE HAMAKER PHARM.D.
Practice Location Address:
4005 E GRAND AVE
LARAMIE, WY
82070-5161
Practice Phone: 307-257-0277
Practice Fax: 307-742-0787

Directions to “EXPRESS PHARMACY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.