Organization
AFTON FAMILY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRET JOHN JACOBSON PHARMD (PHARMACIST)
(435) 512-8202
Entity
Organization
Contact information
Practice address
141 N WASHINGTON ST, AFTON, WY 83110
(435) 512-8202
Mailing address
141 N WASHINGTON ST, AFTON, WY 83110
(435) 512-8202
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
WY
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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