NPI 1306181110

Kristi Louise Radosevich, PHARMD

Practitioner Pharmacist Green River, WY

Practice location

Address: 905 Bridger Dr, Green River, WY 82935-5879
Phone: (307) 875-7841

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 2950 (WY)

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Registry record

NPI: 1306181110
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Dec 2012
Record last updated: 5 Dec 2012

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.