Individual
CARLA M LEFAIVRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
201 GATEWAY BLVD, ROCK SPRINGS, WY 82901-5782
(307) 362-1967
Mailing address
8 POWDER RIDGE LN, ROCK SPRINGS, WY 82901-6701
(307) 350-9075
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2719
WY
Other
Enumeration date
07/17/2016
Last updated
07/28/2016
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