Individual
EDWARD K GIFFORD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
362 COFFEEN AVE, SHERIDAN, WY 82801-4809
(307) 672-7705
(307) 672-7705
Mailing address
1030 5TH AVE E, SHERIDAN, WY 82801-6229
(307) 672-7705
(307) 672-7705
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
Primary
2569
WY
Other
Enumeration date
10/10/2005
Last updated
07/08/2007
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