Clark, Jeffrey

Clark, Jeffrey is an individual health care provider with primary practice located at 5353 Yellowstone Rd , Cheyenne WY 82009-4178. He recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as his primary health care specialty. Clark, Jeffrey can be contacted via phone (307) 532-6178.

Contact Information

Primary practice address
5353 Yellowstone Rd Cheyenne WY 82009-4178
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 1633T Wyoming

Profile Details

NPI number 1477893477
LBN Legal business name Clark, Jeffrey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2013
Last updated Feb 27th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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