Individual
JASON CORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1733 N FEDERAL BLVD, RIVERTON, WY 82501-5201
(307) 856-3269
(307) 856-4136
Mailing address
1733 N FEDERAL BLVD, RIVERTON, WY 82501-5201
(307) 856-3269
(307) 856-4136
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3753
WY
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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