Whalio Doctors

NPI 1174622203

John M. Stadick, RPH

Practitioner Pharmacist Sheridan, WY

Practice location

Address
1259 Victoria St, Sheridan, WY 82801-3343
Phone
(307) 672-6212
Mailing address
1898 Fort Rd, Sheridan, WY 82801-8320

Registered specialties

Pharmacist Primary
Pharmacy Service Providers Taxonomy 183500000X Licence 1723 (WY)

Registry record

NPI
1174622203
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 Sep 2006
Record last updated
8 Jul 2007

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.