Organization
THEO WHOLESALE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THEODORE DENNIS BECKER N/A (CEO)
(208) 892-9780
Entity
Organization
Contact information
Practice address
30 N GOULD ST STE N, SHERIDAN, WY 82801-6317
(208) 892-9780
Mailing address
30 N GOULD ST STE N, SHERIDAN, WY 82801-6317
(208) 892-9780
Taxonomy
Speciality
Code
Description
License number
State
261QR1100X
Research Clinic/Center
Primary
—
—
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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