Individual
ASHLEY ANN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1501 DELL RANGE BLVD, CHEYENNE, WY 82009-4853
(307) 635-5854
Mailing address
4413 CHIPPEWA DR, LARAMIE, WY 82072-7210
(307) 760-4396
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4086
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4086
WYOMING BOARD OF PHARMACY
WY
Enumeration date
02/26/2019
Last updated
02/26/2019
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