Individual
JERI COSTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6350 E 2ND ST, CASPER, WY 82609-4264
(307) 232-4050
(307) 333-1242
Mailing address
6350 E 2ND STREET, CASPER, WY 82609
(307) 232-4050
(307) 333-1242
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2229
WY
Other
Enumeration date
09/15/2014
Last updated
06/22/2017
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