# STATE OF WYOMING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WYOMING STATE TRAINING SCHOOL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023154564
- **Authorized official:** KEVIN KULOW (OPERATIONS MGR)
- **Authorized official phone:** (307) 335-6762

## Contact information

- **Practice address:** 8204 STATE HIGHWAY 789, LANDER, WY 82520-2941
- **Practice address phone:** (307) 335-6719
- **Practice address fax:** (307) 335-6987
- **Mailing address:** 8204 STATE HIGHWAY 789, LANDER, WY 82520-2941
- **Mailing address phone:** (307) 335-6719
- **Mailing address fax:** (307) 335-6987

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | 5202926IP | WY | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 12/31/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100180900 | — | WY |
| 05 | — | 100180901 | — | WY |
| 01 | — | 2111516 | PK | — |