NPI 1104394907 · live from the CMS NPI Registry
University Of Wyoming
Pharmacy in Casper, WY. National Provider Identifier 1104394907, active.
NPI record
| NPI | 1104394907 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 1522 E A St, Casper, WY 82601 |
| Practice phone | 307-265-4446 |
| Enumerated | November 9, 2018 |
| Last updated | June 3, 2019 |
| Authorized official | Lyle Svoboda, Clinic Director |
| Other names | Wyoming Family Practice Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy primary | 333600000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.