Pharmaceutical Compounding Specialists of Wyoming

NPI #1770744583 in Casper, Wyoming

Provider Information

NPI Number: 1770744583
Entity Type: Organization
Organization Name: Pharmaceutical Compounding Specialists of Wyoming
Primary Specialty: Pharmacy - Compounding Pharmacy
Enumeration Date: Jun 24, 2008
Last Updated: Jun 24, 2008

Practice Location

Address: 2546 E 2ND ST
Address 2: BLDG#100
City: Casper
State: Wyoming
ZIP Code: 82609-2062
Phone: (307) 472-0597

Authorized Official

Name: MR. RICHARD L JOHNSON
Title: OWNER
Phone: (307) 472-0597

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy - Compounding Pharmacy — Compounding Pharmacy	3336C0004X	Primary

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