Individual
MRS. RENEE L FOUNTAIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARM. D
Contact information
Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7550
Mailing address
1830 CHESHIRE DR, CHEYENNE, WY 82001-1684
(307) 514-2751
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2939
WY
Other
Enumeration date
05/03/2006
Last updated
07/08/2007
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