Individual
JOSHUA LEON GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
511 N 12TH ST E, RIVERTON, WY 82501-3809
(307) 855-2989
Mailing address
511 N 12TH ST E, RIVERTON, WY 82501-3809
(307) 855-2989
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4152
WY
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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