Individual
BENJAMIN VANHEULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
610 S 6TH ST, THERMOPOLIS, WY 82443-3202
(307) 864-2369
Mailing address
610 S 6TH ST, THERMOPOLIS, WY 82443-3202
(307) 864-2369
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3762
WY
Other
Enumeration date
07/23/2014
Last updated
09/12/2016
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