Individual
PAM DANFORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
201 YELLOWSTONE AVE, CODY, WY 82414-9313
(307) 527-7561
Mailing address
1101 ELM AVE, CODY, WY 82414-3049
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
24648
MT
1835P2201X
Ambulatory Care Pharmacist
3640
WY
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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