Individual
DR. LYDIA VON WALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, PHARMD
Contact information
Practice address
5353 YELLOWSTONE RD STE 211, CHEYENNE, WY 82009-4178
(888) 385-0235
Mailing address
PO BOX 1246, WELLINGTON, CO 80549-1246
(214) 315-5016
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4140
WY
183500000X
Pharmacist
57436
TX
183500000X
Pharmacist
PHA.0022642
CO
Other
Enumeration date
05/13/2019
Last updated
08/10/2023
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