Individual
DR. OPAL ANN MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
300 SE WYOMING BLVD, CASPER, WY 82609-4201
(307) 577-7062
Mailing address
190 SE WYOMING BLVD, CASPER, WY 82609-1906
(307) 234-9184
(307) 234-4685
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3650
WY
Other
Enumeration date
07/10/2013
Last updated
03/28/2019
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