RAWHIDE DRUG LLC
NPI 1124779392
Pharmacy - Long Term Care Pharmacy in Lusk, WY

Active since January 10, 2022

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Rawhide Drug Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAWHIDE DRUG LLC (NPI 1124779392) is a healthcare organization registered as a long term care pharmacy in Lusk, Wyoming and active in the NPI registry since January 2022. The organization lists Heather Robinson, Compliance Mgr., as its authorized official.Information from the official NPPES registry record, last updated January 10, 2022.

NPPES Registry Identity

NPI1124779392
Entity TypeOrganization
Legal Business NameRAWHIDE DRUG LLC
Location Address232 S MAIN STLusk, WY 82225-5089
Mailing Address3780 E 15th St Ste 102Loveland, CO 80538-8768 · (970) 481-9668
Organization SubpartNo
Authorized OfficialHeather RobinsonCompliance Mgr. · (970) 481-9668
Enumeration DateJanuary 10, 2022
NPPES CertifiedJanuary 10, 2022
NPI 1124779392 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Pharmacy · Long Term Care Pharmacy

Taxonomy 3336L0003X · Suppliers

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities,… Show more

232 S MAIN ST, Lusk, WY 82225

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
53D2186453
Facility Type
Pharmacy
Certificate Effective Date
June 17, 2024
Certificate Expiration Date
June 16, 2026
Laboratory Director
CRAIG FREDERICK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Rawhide Drug Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pharmacist
232 S MAIN ST
LUSK, WY 82225

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124779392, enumerated as an "organization" on January 10, 2022.

The provider is located at 232 S MAIN ST LUSK, WY 82225 and the phone number is (307) 334-3132.

Pharmacy with taxonomy code 3336L0003X and a focus in Long Term Care Pharmacy.