Individual
DR. ANGELA M WILDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1202 E RICHARDS ST, DOUGLAS, WY 82633-2934
(307) 358-5077
Mailing address
812 JACKSON ST APT A, DOUGLAS, WY 82633-2954
(307) 797-8930
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3558
WY
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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