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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