Zachary Ivie

NPI 1114335205 · on the registry since 2014

Practice

Address: 679 S Washington St
Afton, WY 83110
Phone: (307) 885-9804
Fax: (307) 885-9760
Organisation at this address: Shopko Stores Operating Co Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Pharmacist
183500000X
Also registered as: Pharmacist
Licence states on file: ID, WY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-08-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming