Jeffrey Clark

NPI #1477893477 in Cheyenne, Wyoming

Provider Information

NPI Number: 1477893477
Entity Type: Individual
Name: Jeffrey Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacy Technician
Enumeration Date: Feb 27, 2013
Last Updated: Feb 27, 2013

Practice Location

Address: 5353 YELLOWSTONE RD
City: Cheyenne
State: Wyoming
ZIP Code: 82009-4178
Phone: (307) 532-6178

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy Technician	183700000X	Primary

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