Individual
MR. DANIEL LEE PLAISTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
29 BLACK COLE DRIVE, FORT WASHAKIE, WY 82514
(307) 335-5997
Mailing address
29 BLACK COLE DRIVE, FORT WASHAKIE, WY 82514
(307) 335-5997
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3371
WY
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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