Wyoming Medication Donation Program
Specialty details in registry · Cheyenne, WY
At a glance
2508 E Fox Farm Rd Ste 2A, Cheyenne, WY 82007-2559
NPPES record updated Apr 12, 2019. Public records can lag behind changes at a practice.
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Insurance participation and appointment availability are not established by these public records.
Practice location
2508 E Fox Farm Rd Ste 2ACheyenne, WY 82007-2559
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 3336C0003X
- Enumeration date
- Feb 25, 2013
- Record updated
- Apr 12, 2019
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
333600000X
Specialty details in registry
3336C0003X · Primary
License reported: R10065 WY
Specialty details in registry
3336M0002X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
2508 E Fox Farm Rd Ste 2ACheyenne, WY 82007-2559
- Phone
- (307) 635-1297
- Fax
- (307) 635-2156
Mailing address
2300 CAPITOL AVE STE B-27CHEYENNE, WY 820013672
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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