STATE OF WYOMING
Organization (NPI-2)
Active
Pharmacy, Institutional Pharmacy
Provider Information
- NPI Number
1023154564- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 8204 STATE HIGHWAY 789, LANDER, WY, 825202941
- Phone
- (307) 335-6719
- Fax
- (307) 335-6987
Specialties & Taxonomies
Pharmacy, Institutional Pharmacy
Primary License: WY #5202926IP