Individual
STEPHANIE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
190 SE WYOMING BLVD, CASPER, WY 82609-1906
(307) 234-9184
Mailing address
190 SE WYOMING BLVD, CASPER, WY 82609-1906
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3748
WY
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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