Wyoming Medication Donation Program

LBN: Wyoming Medication Donation Program
Wyoming Medication Donation Program is an health care organization with primary practice located at 2508 E Fox Farm Rd Ste 2A , Cheyenne WY 82007-2559. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Wyoming Medication Donation Program can be contacted via phone (307) 635-1297, or through Gallizzi, Natasha via phone (307) 635-1297.

Contact Information

Primary practice address
2508 E Fox Farm Rd Ste 2A Cheyenne WY 82007-2559
Phone: (307) 635-1297
Fax: (307) 635-2156
Website:
Map and Directions
Authorized official contact:
Name: Gallizzi, Natasha
Phone: (307) 635-1297

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X R10065 Wyoming
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1154661320
LBN Legal business name Wyoming Medication Donation Program
DBA Doing business as Wyoming Medication Donation Program
Authorized official Gallizzi, Natasha
Entity Organization
Organization subpart 1 No
Enumeration date Feb 25th, 2013
Last updated Apr 12th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154661320 NPPES
Other 5204487 NCPDP PROVIDER IDENTIFICATION NUMBER

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