Individual provider · Type 1 NPI

Zachary Jack Ivie

Pharmacist · Afton, WY

NPI number 1114335205 Active

Practice location

679 S Washington St
Afton, WY 83110-6000

Fax (307) 885-9760

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000XP7041 (ID)
Pharmacist Primary 183500000X3757 (WY)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1114335205

Zachary Jack Ivie's National Provider Identifier is 1114335205, issued on Aug 1, 2014. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Afton, WY. The record was last updated on Aug 22, 2016.