Individual
RENESSA SCHWARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1766 COFFEEN AVE, SHERIDAN, WY 82801-5710
(307) 674-1936
Mailing address
515 MERIDIAN ST, SHERIDAN, WY 82801-5420
(307) 399-5923
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3377
WY
183500000X
Pharmacist
7697910-1701
UT
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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