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Individual

AUSTIN OPITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
1695 COFFEEN AVE, SHERIDAN, WY 82801-5761
(307) 674-7417
Mailing address
1695 COFFEEN AVE, SHERIDAN, WY 82801-5761
(307) 674-7417

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3758
WY

Other

Enumeration date
11/19/2015
Last updated
11/19/2015
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