Individual
DR. STEPHANIE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1501 DELL RANGE BLVD, CHEYENNE, WY 82009-4853
(307) 635-5854
(307) 635-5865
Mailing address
1501 DELL RANGE BLVD, CHEYENNE, WY 82009-4853
(307) 635-5854
(307) 635-5865
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4149
WY
Other
Enumeration date
07/08/2019
Last updated
10/08/2021
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