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Organization

WYMED SUPPLY, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM B. BLAIR (OWNER)
(307) 234-3047
Entity
Organization

Contact information

Practice address
1347 S WISCONSIN AVE, CASPER, WY 82609-2936
(307) 234-3047
(307) 234-3897
Mailing address
1347 S WISCONSIN AVE, CASPER, WY 82609-2936
(307) 234-3047
(307) 234-3897

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119089001
WY
Enumeration date
03/15/2007
Last updated
06/03/2008
About Stedi
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