Individual
COLTON MARSHALL EISELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2360 E PERSHING BLVD, 119, CHEYENNE, WY 82001-5356
(307) 778-7550
(307) 778-7588
Mailing address
320 W CARLSON ST, APARTMENT 103, CHEYENNE, WY 82009-3946
(307) 631-6649
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
3362
WY
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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