Individual
LACEY NICOLE CRUMBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
401 SE WYOMING BLVD, CASPER, WY 82609-4219
(307) 441-6099
Mailing address
401 SE WYOMING BLVD, CASPER, WY 82609-4219
(307) 441-6099
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3659
WY
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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