Individual
NICK ANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
619 COFFEEN AVE, SHERIDAN, WY 82801
(307) 672-1788
Mailing address
619 COFFEEN AVE, SHERIDAN, WY 82801
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3732
WY
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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