Individual
DR. JERRY EUGENE WITHERS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7121 COMMONS DR, CHEYENNE, WY 82009-2651
(307) 637-4300
Mailing address
7216 SAY KALLY RD, CHEYENNE, WY 82009-5735
(307) 286-6782
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
WY4333
WY
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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