Individual
SARAH BRISTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
2405 CY AVE, CASPER, WY 82604-3444
(307) 266-6250
Mailing address
933 S DAVID ST, CASPER, WY 82601-3737
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
870258768
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3697
PHARMACIST LICENSE
WY
Enumeration date
08/22/2016
Last updated
08/22/2016
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