Individual
RALPH BARTHOLOMEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R. PH.
Contact information
Practice address
1020 CRANDALL DR, BOX 816, POWELL, WY 82435-4537
(307) 254-2516
Mailing address
PO BOX 816, 1020 CRANDALL DR, POWELL, WY 82435-0816
(307) 254-2516
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2204
WY
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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