NPI 1477893477 · live from the CMS NPI Registry
Jeffrey Clark
Pharmacy Technician in Cheyenne, WY. National Provider Identifier 1477893477, active.
NPI record
| NPI | 1477893477 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy Technician 183700000X |
| Practice location | 5353 Yellowstone Rd, Cheyenne, WY 82009 |
| Practice phone | 307-532-6178 |
| Mailing address | 5712 Kennedy Dr, Cheyenne, WY 82001 |
| Enumerated | February 27, 2013 |
| Last updated | February 27, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy Technician primary | 183700000X | 1633t (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.