IndividualActive
Laraine Jeffery
NPI 1053884114 · Compounded Sterile Preparations Pharmacist · Cheyenne, WY
Provider details
- NPI number
- 1053884114
- Entity type
- Individual
- Primary specialty
- Compounded Sterile Preparations PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4063 (WY)
Mailing address
2360 E Pershing Blvd
Cheyenne, WY 82001-5356
Registry dates
- Enumerated
- 2019-01-10
- Last updated
- 2024-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.