Walck, Jason Lawrence

Walck, Jason Lawrence is an individual health care provider with primary practice located at 2360 E Pershing Blvd # 119 , Cheyenne WY 82001-5356. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Geriatric. Pharmacy Service Providers / Geriatric is his primary health care specialty. Walck, Jason Lawrence can be contacted via phone (307) 778-7550.

Contact Information

Primary practice address
2360 E Pershing Blvd # 119 Cheyenne WY 82001-5356
Phone: (307) 778-7550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 054562 New York
Pharmacy Service Providers / Geriatric 1835G0303X 9103911 Wyoming

Profile Details

NPI number 1700174539
LBN Legal business name Walck, Jason Lawrence
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2011
Last updated Jan 16th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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