Individual
DAVID MANASSEH AHLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
100 S 20TH ST, WORLAND, WY 82401-3742
(307) 347-2851
(307) 347-2651
Mailing address
100 S 20TH ST, WORLAND, WY 82401-3742
(307) 347-2851
(307) 347-2651
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3833
WY
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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