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Organization
STATE OF WYOMING
Active
Organization
STATE OF WYOMING
Active
Other names
WYOMING STATE TRAINING SCHOOL
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN KULOW (OPERATIONS MGR)
(307) 335-6762
Entity
Organization
Contact information
Practice address
8204 STATE HIGHWAY 789, LANDER, WY 82520-2941
(307) 335-6719
(307) 335-6987
Mailing address
8204 STATE HIGHWAY 789, LANDER, WY 82520-2941
(307) 335-6719
(307) 335-6987
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
5202926IP
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100180900
—
WY
05
—
100180901
—
WY
01
—
2111516
PK
—
Enumeration date
01/30/2007
Last updated
12/31/2013
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