MEDICARE: WYOMING PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	31217992	OH
2	3336C0003X	Community/Retail Pharmacy		OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3643308	OTHER		NABP NUMBER

General Provider Information

NPI Number	:	1912910738
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WYOMING PHARMACY INC

Provider Business Mailing Address
First Line	:	24 COMPTON RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45216-1000
Country	:	US
Telephone Number	:	513-821-7878
Fax Number	:	513-821-2045

Provider Business Practice Location Address
First Line	:	24 COMPTON RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45216-1000
Country	:	US
Telephone Number	:	513-821-7878
Fax Number	:	513-821-2045

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JOHN ALLEN DINKELAKER
Credential	:	R.PH.
Telephone Number	:	513-821-7878

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	09/11/2025

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Directions to “WYOMING PHARMACY INC ” Practice Location

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