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1386273522
THOMAS HEIDELK
CHEYENNE, WY
NPI
1386273522
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WY 4213)
Enumeration Date
2020-04-08
Last Update Date
2020-04-08
Business Address
THOMAS HEIDELK
2304 E LINCOLNWAY
CHEYENNE, WY 82001-5416
Phone number: 307-635-0241
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Mailing Address
THOMAS HEIDELK
6740 FAITH DR UNIT C
CHEYENNE, WY 82009-2768
Phone number: 402-525-2689
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