Organization
WESTON COUNTY HOSPITAL DISTRICT
Active
Organization
WESTON COUNTY HOSPITAL DISTRICT
Active
Other names
WESTON COUNTY HEALTH SERVICES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TAVIS WEIDENBACH PHARMD (PHARMACIST IN CHARGE)
(307) 746-3742
Entity
Organization
Contact information
Practice address
1124 WASHINGTON BLVD, NEWCASTLE, WY 82701-2972
(307) 746-3742
(307) 746-3724
Mailing address
1124 WASHINGTON BLVD, NEWCASTLE, WY 82701-2972
(307) 746-3742
(307) 746-3724
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
5202609
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114292500
—
WY
01
—
2111452
PK
—
Enumeration date
09/30/2006
Last updated
11/18/2025
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