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Individual

ERAMBO AYOKOSOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
1718 WALSH CT, LARAMIE, WY 82070-5524
(307) 460-3320
Mailing address
1718 WALSH CT, LARAMIE, WY 82070-5524
(307) 460-3320

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3349
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3349
WYOMING STATE BOARD OF PHARMACY
WY
Enumeration date
10/29/2010
Last updated
10/29/2010
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