Organization · Type 2 NPI

University of Wyoming

Pharmacy · Casper, WY

NPI number 1104394907 Active

Practice location

1522 E A St
Casper, WY 82601-2217

Fax (307) 472-2881

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

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NPI record

NPI: 1104394907
Entity type: Organization (Type 2)
Issued: Nov 9, 2018
Last updated: Jun 3, 2019
Status: Active
Subpart: Yes of University of Wyoming

Other names

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Wyoming Family Practice Pharmacy · doing business as
Wyoming Family Practice Pharmacy · doing business as

Authorized official

Lyle D Svoboda
Clinic Director
(307) 232-6079

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104394907

University of Wyoming's National Provider Identifier is 1104394907, issued on Nov 9, 2018. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Casper, WY. The record was last updated on Jun 3, 2019.