NPI 1144536301

Kieley Elijah Collins, PHARMD

Practitioner Pharmacist Cody, WY

Practice location

Address: 1585 Sheridan Ave, Cody, WY 82414-3819
Phone: (307) 587-2017
Mailing address: 973 Lane 10 1/2, Lovell, WY 82431-9608

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 3383 (WY)

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Registry record

NPI: 1144536301
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Aug 2010
Record last updated: 26 Aug 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.