NPI 1477893477
Jeffrey Clark
Practice location
- Address
- 5353 Yellowstone Rd, Cheyenne, WY 82009-4178
- Phone
- (307) 532-6178
- Mailing address
- 5712 Kennedy Dr, Cheyenne, WY 82001-7422
Registered specialties
Pharmacy Technician
Primary
Registry record
- NPI
- 1477893477
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 27 Feb 2013
- Record last updated
- 27 Feb 2013
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.