NPI | 1023589462 |
---|---|
Doing Business As | WYOMING FAMILY PRACTICE PHARMACY |
Entity Type | Organization |
Authorized Contact | LYLE D SVOBODA Clinic Director 307-232-6079 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2018-12-11 |
Last Update Date | 2019-06-03 |