Travis J. Cork is a Pharmacotherapy in Cheyenne, . Travis J. Cork practices all healthcare services and medical treatments related to Pharmacotherapy. The NPI Number for Travis J. Cork is 1124041082. The last update date is 2017-05-11.
Travis J. Cork's current location address is 711 Samuel Ln, Cheyenne, . You can contact this provider via phone number 3073990881. The mailing address for Travis J. Cork is 711 Samuel Ln, Cheyenne, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Travis J. Cork |
|---|---|
| Address | 711 Samuel Ln, Cheyenne, |
| Phone Number | 3073990881 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHARMD |
NPI Number Detail
| NPI Number | 1124041082 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2017-05-11 |
Provider Mailing Address Detail
| Address | 711 Samuel Ln |
|---|---|
| City | Cheyenne |
| State | (WY) |
| Post Code | 820094434 |
| Phone Number | 3073990881 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacotherapy |
|---|---|
| Taxonomy | 1835P1200X |
| Licence No | 3122 |
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Definition: A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and cons |
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What is the unique 10-digit identifier code assigned to Travis J. Cork by the Centers for Medicare & Medicaid Services?
The Travis J. Cork has been issued the NPI (National Provider Identifier) 1124041082 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Travis J. Cork's facilities are situated?
The facilities of Travis J. Cork are physically located at the following address: 711 Samuel Ln, Cheyenne, WY, 820094434.
What is the Travis J. Cork's specialty and taxonomy code?
The Travis J. Cork's specialty is Pharmacotherapy, and the corresponding taxonomy code is 1835P1200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124041082 to Travis J. Cork?
The Travis J. Cork received its 1124041082 assignment from the Centers for Medicare & Medicaid Services on 2006-07-25.
When was the information regarding Travis J. Cork most recently updated?
The details pertaining to the Travis J. Cork, including its address, specialty, and other relevant information, were last refreshed on 2017-05-11.
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