Organization
MEDICAL CENTER PHARMACY LLC
Active
Organization
MEDICAL CENTER PHARMACY LLC
Active
Other names
MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM WENKE (GENERAL PARTNER)
(307) 527-6221
Entity
Organization
Contact information
Practice address
698 YELLOWSTONE AVE, CODY, WY 82414-9322
(307) 527-6221
(307) 527-6667
Mailing address
698 YELLOWSTONE AVE, CODY, WY 82414-9322
(307) 527-6221
(307) 527-6667
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5202205
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104028600
—
WY
05
—
104028601
—
WY
01
—
2111345
PK
—
Enumeration date
10/26/2006
Last updated
11/01/2025
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