NPI 1023154564
State of Wyoming
Practice location
- Address
- 8204 State Highway 789, Lander, WY 82520-2941
- Phone
- (307) 335-6719
- Fax
- (307) 335-6987
Authorised official
- Name
- Kevin Kulow
- Title
- Operations Mgr
- Phone
- (307) 335-6762
Registered specialties
Institutional Pharmacy
Primary
Registry record
- NPI
- 1023154564
- Entity type
- Organization
- NPI issued
- 30 Jan 2007
- Record last updated
- 31 Dec 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.