Individual
SYDNEY SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1585 SHERIDAN AVE, CODY, WY 82414-3819
(307) 587-2017
Mailing address
3 OAK DR, CODY, WY 82414-8200
(303) 818-9156
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4090
WY
183500000X
Pharmacist
PH60867119
WA
Other
Enumeration date
08/05/2018
Last updated
04/27/2021
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