Individual
DR. STEVEN GRANT HULTGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
777 AVENUE H, POWELL, WY 82435-2260
(307) 754-1279
(307) 754-7732
Mailing address
777 AVENUE H, POWELL, WY 82435-2260
(307) 754-1279
(307) 754-7732
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3346
WY
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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