Individual
DR. JACLYN JUNE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
70 GATEWAY BLVD, ROCK SPRINGS, WY 82901-5709
(307) 382-2536
Mailing address
70 GATEWAY BLVD, ROCK SPRINGS, WY 82901-5709
(307) 382-2536
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4267
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4267
BOARD OF PHARMACY
WY
Enumeration date
09/14/2020
Last updated
12/19/2022
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