Individual
MR. JUSTIN SHANE NOTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5353 YELLOWSTONE RD, SUITE 210, CHEYENNE, WY 82009-4178
(307) 433-3690
Mailing address
PO BOX 20330, CHEYENNE, WY 82003-7033
(307) 433-3690
(303) 370-1677
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2685
WY
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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