Individual
MARLO JOHNSON CROSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1585 SHERIDAN AVE, CODY, WY 82414-3819
(307) 587-2017
Mailing address
2808 WEST AVE UNIT A, CODY, WY 82414
(218) 730-7259
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116025
MN
183500000X
Pharmacist
15418-40
WI
183500000X
Pharmacist
S016384
AZ
Other
Enumeration date
10/20/2011
Last updated
10/26/2017
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