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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