NPI 1003459397

Samuel Aarin Blakeslee, RPH

Practitioner Pharmacist Casper, WY

Practice location

Address: 300 SE Wyoming Blvd, Casper, WY 82609-4201
Phone: (307) 577-7062
Mailing address: 2935 Desmet Dr, Casper, WY 82604-3047

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 4185 (WY)

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Registry record

NPI: 1003459397
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Oct 2019
Record last updated: 20 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.