State of Wyoming

NPI #1023154564 in Lander, Wyoming

Provider Information

NPI Number
1023154564
Entity Type
Organization
Organization Name
State of Wyoming
Primary Specialty
Pharmacy - Institutional Pharmacy
Enumeration Date
Jan 30, 2007
Last Updated
Dec 31, 2013

Practice Location

Address
8204 STATE HIGHWAY 789
City
Lander
State
Wyoming
ZIP Code
82520-2941
Phone
(307) 335-6719

Authorized Official

Name
KEVIN KULOW
Title
OPERATIONS MGR
Phone
(307) 335-6762

Specialties & Taxonomy Codes

Specialty
Pharmacy - Institutional PharmacyInstitutional Pharmacy

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