Individual
JAMES KENNETH MASSENGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1115 E PERSHING BLVD, CHEYENNE, WY 82001-3228
(307) 632-9111
(307) 432-2590
Mailing address
1115 E PERSHING BLVD, CHEYENNE, WY 82001-3228
(307) 632-9111
(307) 432-2590
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2771
WY
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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