Individual
DIANA NEEDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7550
Mailing address
2360 E PERSHING BLVD, PHARMACY DEPARTMENT, CHEYENNE, WY 82001-5356
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2694
WY
Other
Enumeration date
05/29/2007
Last updated
07/14/2007
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