Individual
THEODORE OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1898 FORT RD, SHERIDAN, WY 82801-8320
(307) 675-3102
Mailing address
1898 FORT RD, SHERIDAN, WY 82801-8320
(307) 675-3102
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
183500000X
Pharmacist
6313
SD
1835P1200X
Pharmacotherapy Pharmacist
Primary
6313
SD
Other
Enumeration date
12/10/2007
Last updated
04/11/2016
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