Individual
JESSICA MARIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
255 N 30TH ST, LARAMIE, WY 82072-5195
(307) 755-4592
Mailing address
255 N 30TH ST, LARAMIE, WY 82072-5195
(307) 755-4592
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4150
WY
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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