NPI 1154661320
Wyoming Medication Donation Program
Practice location
- Address
- 2508 E Fox Farm Rd STE 2a, Cheyenne, WY 82007-2559
- Phone
- (307) 635-1297
- Fax
- (307) 635-2156
- Mailing address
- 2300 Capitol Ave STE B-27, Cheyenne, WY 82001-3672
Authorised official
- Name
- Natasha Gallizzi
- Title
- Pharm.D., Pic, Program Manager
- Phone
- (307) 635-1297
Registered specialties (3)
Community/Retail Pharmacy
Primary
Pharmacy
Mail Order Pharmacy
Registry record
- NPI
- 1154661320
- Entity type
- Organization
- NPI issued
- 25 Feb 2013
- Record last updated
- 12 Apr 2019
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.