Individual
DEREK BARSNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1071 CY AVE, CASPER, WY 82604-3515
(307) 234-9379
Mailing address
5180 BLACKMORE RD APT 107, CASPER, WY 82609-4376
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3472
WY
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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