Zachary Jack Ivie

NPI #1114335205 in Afton, Wyoming

Provider Information

NPI Number: 1114335205
Entity Type: Individual
Name: Zachary Jack Ivie
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 1, 2014
Last Updated: Aug 22, 2016

Practice Location

Address: 679 S WASHINGTON ST
City: Afton
State: Wyoming
ZIP Code: 83110-6000
Phone: (307) 885-9804

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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