University of Wyoming

NPI #1104394907 in Casper, Wyoming

Provider Information

NPI Number: 1104394907
Entity Type: Organization
Organization Name: University of Wyoming
Subpart: Yes (part of a larger organization)
Parent Organization: UNIVERSITY OF WYOMING
Primary Specialty: Pharmacy
Enumeration Date: Nov 9, 2018
Last Updated: Jun 3, 2019

Practice Location

Address: 1522 E A ST
City: Casper
State: Wyoming
ZIP Code: 82601-2217
Phone: (307) 265-4446

Authorized Official

Name: LYLE D SVOBODA
Title: CLINIC DIRECTOR
Phone: (307) 232-6079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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