Organization
CHEYENNE VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS CORK (CHIEF OF PHARMACY)
(307) 432-3819
Entity
Organization
Contact information
Practice address
2360 E PERSHING BLVD, PHARMACY-119, CHEYENNE, WY 82001-5356
(307) 996-4849
Mailing address
2360 E PERSHING BLVD, PHARMACY-119, CHEYENNE, WY 82001-5356
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
3750
WY
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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