Individual
RICHARD BLANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
555 N MAIN ST, SHERIDAN, WY 82801-3630
(307) 672-3741
Mailing address
555 N MAIN STREET, SHERIDAN, WY 82801
(307) 672-3741
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2824
WY
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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