NPI 1053629048

James Allen Poppe

Practitioner Pharmacist Evanston, WY

Practice location

Address: 70 Yellow Creek Rd, Evanston, WY 82930-5227
Phone: (307) 789-0535
Fax: (307) 789-9550

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 1842 (WY)

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Registry record

NPI: 1053629048
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Sep 2010
Record last updated: 23 Sep 2010

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.