Individual
MR. KIELEY ELIJAH COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1585 SHERIDAN AVE, CODY, WY 82414-3819
(307) 587-2017
Mailing address
973 LANE 10 1/2, LOVELL, WY 82431-9608
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3383
WY
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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