Individual
MRS. KIM KANDICE MARQUARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5353 YELLOWSTONE RD, CHEYENNE, WY 82009-4178
(307) 433-3702
(303) 370-1674
Mailing address
5353 YELLOWSTONE RD, CHEYENNE, WY 82009-4178
(307) 433-3702
(303) 370-1674
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2635
WY
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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