Individual
MS. TERRY ANNE KOURIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1000 E UNIVERSITY AVE, DEPT 3068, LARAMIE, WY 82071-2000
(307) 766-6602
Mailing address
2830 DOVER DR, LARAMIE, WY 82072-2977
(307) 766-6602
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
031213
PA
183500000X
Pharmacist
Primary
3147
WY
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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