Individual
CAMILLA HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
405 W C ST, BASIN, WY 82410-5052
(307) 568-3636
Mailing address
4350 ROAD 16 1/2, OTTO, WY 82434-9714
(307) 271-1095
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4200
WY
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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