Organization
GLENROCK HSOPITAL DISTRICT
Active
Other names
Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEY MARIE OVIEDO-LOPEZ FNPC (ADMINISTRATOR)
(307) 436-9206
Entity
Organization
Contact information
Practice address
925 WEST BIRCH, GLENROCK, WY 82637-0786
(307) 436-9206
(307) 436-9730
Mailing address
PO BOX 786, GLENROCK, WY 82637-0786
(307) 436-9206
(307) 436-9730
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139672200
—
WY
Enumeration date
03/05/2015
Last updated
04/03/2025
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