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Individual
MR. MONTE WILLIAM STRALEY
Active
Individual
MR. MONTE WILLIAM STRALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3407
WY
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
CS5612
ID
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
P4942
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3407
WYOMING BOARD OF PHARMACY
WY
01
—
CS5612
IDAHO STATE BOARD OF PHARMACY
ID
01
—
P4942
IDAHO STATE BOARD OF PHARMACY
ID
Enumeration date
04/27/2009
Last updated
01/26/2015
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