Individual
TRAVIS GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
777 AVENUE H, POWELL, WY 82435-2260
(307) 754-1179
Mailing address
645 ROAD 9, POWELL, WY 82435-9711
(307) 761-2455
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3568
WY
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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