NPI 1003120403

Michael Wenke, PHARMD

Practitioner Pharmacist Cody, WY

Practice location

Address: 698 Yellowstone Ave, Cody, WY 82414-9322
Phone: (307) 527-6221
Fax: (307) 527-6667

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 3211 (WY)

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Registry record

NPI: 1003120403
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 2010
Record last updated: 28 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.