| NPI | 1104394907 |
|---|---|
| Doing Business As | WYOMING FAMILY PRACTICE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LYLE D SVOBODA Clinic Director 307-232-6079 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2019-06-03 |