Individual
HOLLY VIETOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2610 S DOUGLAS HWY, GILLETTE, WY 82718-6468
(307) 687-2996
(307) 686-6153
Mailing address
2610 S DOUGLAS HWY, GILLETTE, WY 82718-6468
(307) 687-2996
(307) 686-6153
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
14154
AZ
183500000X
Pharmacist
Primary
4279
WY
Other
Enumeration date
06/19/2012
Last updated
10/05/2021
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