Organization
COMMUNITY HEALTH CENTER OF CENTRAL WYOMING INC
Active
Other names
COMMUNITY HEALTH CENTER OF CENTRAL WYOMING
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA DORNBIER (PHARMACIST IN CHARGE)
(307) 233-6050
Entity
Organization
Contact information
Practice address
5000 BLACKMORE RD, CASPER, WY 82609-3345
(307) 233-6050
(307) 233-6087
Mailing address
5000 BLACKMORE RD, CASPER, WY 82609-3345
(307) 233-6050
(307) 233-6087
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
5201621
WY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115261101
—
WY
01
—
2111284
PK
—
Enumeration date
12/11/2006
Last updated
03/28/2022
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