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Individual

MR. JOHN HASTINGS VANDEL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
R. PH.

Contact information

Practice address
2041 MAIN ST, TORRINGTON, WY 82240-2708
(307) 766-6120
(307) 766-2953
Mailing address
2041 MAIN ST, TORRINGTON, WY 82240-2708
(307) 766-6120
(307) 766-2953

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1435
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1435
PHARMACY LICENSE
WY
Enumeration date
06/02/2006
Last updated
07/08/2007
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