Individual
JEREMY WHITFIELD VANDIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1000 E UNIVERSITY AVE DEPT 3375, LARAMIE, WY 82071-2001
(307) 766-6120
Mailing address
1000 E UNIVERSITY AVE DEPT 3375, LARAMIE, WY 82071-2001
(307) 766-6120
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18806
CO
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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