Organization
WESTON COUNTY HOSPITAL DISTRICT
Active
Organization
WESTON COUNTY HOSPITAL DISTRICT
Active
Other names
Weston County Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TAVIS WEIDENBACH (DIRECTOR OF PHARMACY/AO)
(307) 746-3742
Entity
Organization
Contact information
Practice address
1124 WASHINGTON BLVD, NEWCASTLE, WY 82701-2972
(307) 746-2425
(307) 746-9263
Mailing address
727A WASHINGTON BLVD, NEWCASTLE, WY 82701-2930
(307) 746-2425
(307) 746-9263
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
R10140
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149854
PK
—
Enumeration date
01/29/2015
Last updated
11/18/2025
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