Organization
WYOMING MEDICAL CENTER PHCY
Active
Other names
WYOMING MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE PORTER (CEO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
1233 E 2ND ST, CASPER, WY 82601-2926
(307) 577-2331
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
5201075
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2111177
PK
—
Enumeration date
07/30/2006
Last updated
04/20/2026
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