Individual
MRS. BROOKE DANIELLE MILLEMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D.
Contact information
Practice address
400 2ND ST STE A-1, ROCK SPRINGS, WY 82901-6260
(307) 382-3544
(307) 382-0987
Mailing address
1312 VIRGINIA ST, ROCK SPRINGS, WY 82901-6532
(307) 382-5882
(307) 382-0987
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3080
WY
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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