Robertson, Gareth P

Robertson, Gareth P is an sole proprietor health care provider with primary practice located at 777 Avenue H , Powell WY 82435-2260. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Robertson, Gareth P can be contacted via phone (307) 754-1114.

Contact Information

Primary practice address
777 Avenue H Powell WY 82435-2260
Fax: (307) 754-3176
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 3148 Wyoming

Profile Details

NPI number 1770613952
LBN Legal business name Robertson, Gareth P
Credentials PHARMACIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770613952 NPPES
Wyoming Other 3148 WYOMING LICENSE NUMBER

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