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Individual

MR. MONTE WILLIAM STRALEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
727 A WASHINGTON BLVD, NEWCASTLE, WY 82701
(307) 746-2425
(307) 746-3724
Mailing address
727A WASHINGTON BLVD, NEWCASTLE, WY 82701
(307) 746-2425
(307) 746-3724

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3407
WY
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
CS5612
ID
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
P4942
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3407
WYOMING BOARD OF PHARMACY
WY
01
CS5612
IDAHO STATE BOARD OF PHARMACY
ID
01
P4942
IDAHO STATE BOARD OF PHARMACY
ID
Enumeration date
04/27/2009
Last updated
01/26/2015
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