Individual
CHARLES B TIPPETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
70 YELLOW CREEK RD, EVANSTON, WY 82930-5227
(307) 789-0535
(307) 789-9550
Mailing address
70 YELLOW CREEK RD, EVANSTON, WY 82930-5227
(307) 789-0535
(307) 789-9550
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3783
WY
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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