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Jade Enevoldsen, PHARM. D
NPI 1669877015 · on the registry since 2014
Practice
- Address
- 4308 E Grand Ave
Laramie, WY 82070 - Phone
- (307) 745-6112
- Fax
- (307) 721-4975
- Organisation at this address
- Walmart Inc.
Wal-Mart Stores, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
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
- 2014-10-28
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