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Cory Officer
NPI 1346670338 · on the registry since 2013
Practice
- Address
- 1105 Bridger Dr
Green River, WY 82935 - Phone
- (307) 875-4904
- Organisation at this address
- Shopko Stores Operating Co Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- WY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-11-12
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