Individual
EILEEN MARIE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
431 FORT ST, BUFFALO, WY 82834-1805
(307) 684-7003
Mailing address
554 STATE HIGHWAY 193, BANNER, WY 82832-9715
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4125
WY
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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