Organization
UNIVERSITY OF WYOMING
Active
Parent organization
UNIVERSITY OF WYOMING
Other names
Wyoming Family Practice Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF WYOMING
Authorized official
LYLE D SVOBODA (CLINIC DIRECTOR)
(307) 232-6079
Entity
Organization
Contact information
Practice address
1522 E A ST, CASPER, WY 82601-2217
(307) 265-4446
(307) 472-2881
Mailing address
1522 E A ST, CASPER, WY 82601-2217
(307) 232-6079
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
11/09/2018
Last updated
06/03/2019
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