Cork, Travis J.

Cork, Travis J. is an individual health care provider with primary practice located at 711 Samuel Ln , Cheyenne WY 82009-4434. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Cork, Travis J. can be contacted via phone (307) 399-0881.

Contact Information

Primary practice address
711 Samuel Ln Cheyenne WY 82009-4434
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 3122 Wyoming

Profile Details

NPI number 1124041082
LBN Legal business name Cork, Travis J.
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated May 11th, 2017 - about 7 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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