Provider Demographics
NPI:1245582816
Name:RICHONS, DANIEL BOYD (RPH)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:BOYD
Last Name:RICHONS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7
Mailing Address - Street 2:110 5TH STREET
Mailing Address - City:GROVER
Mailing Address - State:WY
Mailing Address - Zip Code:83122-0007
Mailing Address - Country:US
Mailing Address - Phone:307-885-3755
Mailing Address - Fax:307-885-3755
Practice Address - Street 1:439 WASHINGTON ST.
Practice Address - Street 2:
Practice Address - City:AFTON
Practice Address - State:WY
Practice Address - Zip Code:83110
Practice Address - Country:US
Practice Address - Phone:307-885-9804
Practice Address - Fax:307-885-9760
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-08
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY2020183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist