Individual
JACEY BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1825 17TH ST, CODY, WY 82414-4701
(307) 527-7007
Mailing address
1803 16TH ST, CODY, WY 82414-4706
(717) 681-7538
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4564
WY
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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