NPI 1083948806

Nathaniel David Gomez, PHARMD

Practitioner Pharmacist Green River, WY

Practice location

Address: 905 Bridger Dr, Green River, WY 82935-5879
Phone: (307) 875-7841
Fax: (307) 875-0166
Mailing address: 155 Commerce Dr, Green River, WY 82935-6179

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 3157 (WY)

Other Pharmacist providers in Wyoming →

Registry record

NPI: 1083948806
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Sep 2009
Record last updated: 25 Sep 2009

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.