STATE OF WYOMING

Institutional Pharmacy

A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

STATE OF WYOMING

8204 STATE HIGHWAY 789
LANDER, WY 82520-2941

Phone: 307-335-6719
Fax: 307-335-6987
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Institutional Pharmacy	3336I0012X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for STATE OF WYOMING

NPI Number 1023154564

LBN Legal business name STATE OF WYOMING

Authorized official KEVIN KULOW - (OPERATIONS MGR)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/30/2007

Last updated 12/31/2013 - About 12 years ago

Identifiers

WY	License #	5202926IP
WY	Medicaid	100180900
WY	Medicaid	100180901
	Other	2111516	PK

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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