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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