Individual
JEFFREY ALAN BERNARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1000 E UNIVERSITY AVE, DEPT. 3375, LARAMIE, WY 82071-2000
(307) 766-3090
(307) 766-2953
Mailing address
1518 HACKNEY DR, LARAMIE, WY 82070-5001
(307) 766-3090
(307) 766-2953
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2737
WY
Other
Enumeration date
06/30/2005
Last updated
07/08/2007
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