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Individual

RHET MITCHELL LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
307 S WASHINGTON, AFTON, WY 83110
(307) 885-6337
(307) 885-6339
Mailing address
PO BOX 937, AFTON, WY 83110-0937
(307) 314-5070

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4195
WY

Other

Enumeration date
10/24/2019
Last updated
10/24/2019
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