# WYOMING MEDICAL CENTER PHCY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WYOMING MEDICAL CENTER PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891700407
- **Authorized official:** LANCE PORTER (CEO)
- **Authorized official phone:** (602) 747-4000

## Contact information

- **Practice address:** 1233 E 2ND ST, CASPER, WY 82601-2926
- **Practice address phone:** (307) 577-2331
- **Mailing address:** 2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | 5201075 | WY | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 04/20/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2111177 | PK | — |