Powell Valley Health Care, Inc., NPI 1104965003
Institutional Pharmacy in Powell, WY, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1104965003
NPI Entity Type Organization
Provider Name Powell Valley Health Care, Inc.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 777 Avenue H, Powell, WY, US
Provider Mailing Address 777 Avenue H, Powell, WY, US, 824352260
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name MS. CEO Terry Odom
Official Position CEO
Phone 307-754-1179

Primary Taxonomy

Taxonomy Code

3336I0012X

Taxonomy Name Institutional Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 5201342
License State WY
Description A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Business Address

Powell Valley Health Care, Inc.
777 Avenue H

Powell, WY, US

Phone: 307-754-1125
Fax: 307-754-1176

Mailing Address

Powell Valley Health Care, Inc.
777 Avenue H
Powell, WY, US
ZIP 824352260
Phone: 307-754-1125
Fax: 307-754-1176

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

3336L0003X

Suppliers

Pharmacy

5201342 WY No

3336C0003X

Suppliers

Pharmacy

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
007203 WY BCBS PROVIDER # 01
5201342 WY PART D RX SOLUTIONS PROV 01
107049500 WY MEDICAID 05
107049502 WY MEDICAID 05
107185807 WY MEDICAID 05
520134 WY PART D CAREMARXK PROVIDER 01
5201342 WY PART D AETNA PROVIDER # 01
BP3284471 WY DEA 01
5201342 WY NCPDP 01

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Organization

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