Whalio Doctors

NPI 1104077783

Carolyn Komosinski Peavey, PHARMD

Practitioner Pharmacist Green River, WY

Practice location

Address
905 Bridger Dr, Green River, WY 82935-5879
Phone
(307) 875-7841
Fax
(307) 875-0166

Registered specialties

Pharmacist Primary
Pharmacy Service Providers Taxonomy 183500000X Licence 3200 (WY)

Registry record

NPI
1104077783
Entity type
Individual
Sex (as registered)
Female
NPI issued
1 Oct 2008
Record last updated
1 Oct 2008

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.