Individual
MATTHEW RAY MARTINEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D, RPH
Contact information
Practice address
2302 E. LINCOLNWAY, CHEYENNE, WY 82001
(307) 635-0241
(307) 635-1756
Mailing address
3355 E PERSHING BLVD, CHEYENNE, WY 82001-5764
(307) 635-1155
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3542
WY
Other
Enumeration date
08/12/2013
Last updated
07/22/2016
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