Individual
DR. LAFE A ELLERBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
201 GATEWAY BLVD, ROCK SPRINGS, WY 82901-5782
(307) 362-1967
(307) 362-4106
Mailing address
201 GATEWAY BLVD, ROCK SPRINGS, WY 82901-5782
(307) 362-1967
(307) 362-4106
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3302
WY
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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