NPI 1114391703

Austin Opitz, PHARMD

Practitioner Pharmacist Sheridan, WY

Practice location

Address: 1695 Coffeen Ave, Sheridan, WY 82801-5761
Phone: (307) 674-7417

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 3758 (WY)

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Registry record

NPI: 1114391703
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Nov 2015
Record last updated: 19 Nov 2015

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.