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Organization
WYOMING MEDICAL CENTER PHCY
Active
Organization
WYOMING MEDICAL CENTER PHCY
Active
Other names
WYOMING MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE PORTER (CEO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
1233 E 2ND ST, CASPER, WY 82601-2926
(307) 577-2331
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336I0012X
Institutional Pharmacy
Primary
5201075
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2111177
PK
—
Enumeration date
07/30/2006
Last updated
04/20/2026
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