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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