Organization · NPI-2

Casper Ridge Medical Center

Pharmacy, Community/Retail Pharmacy · Casper, WY

NPI number1477464667
StatusActive
Last updated in NPPESSep 15, 2026

Details

NPI
1477464667
Entity type
Organization (NPI-2)
Legal business name
Casper Ridge Medical Center
Organization subpart
No
Enumeration date
Sep 15, 2026
Certification date
Sep 15, 2026
Last updated
Sep 15, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes

Practice location

4501 Sw Wyoming Blvd Ste 2
Casper, WY 82601-6100

Phone 307-685-0010

Mailing address

4501 Sw Wyoming Blvd Ste 2
Casper, WY 82601-6100

Phone 307-685-0010

Authorized official

Michael Carson
Manager
3076850010

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