Individual
JOHN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7550
Mailing address
6908 MANHATTAN LN, CHEYENNE, WY 82009-2731
(406) 370-7196
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA-PHA-LIC-107752
MT
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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