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NPI 1124041082

IndividualActive

Travis Cork, PHARMD

NPI 1124041082 · Pharmacotherapy Pharmacist · Cheyenne, WY

Provider details

NPI number: 1124041082
Entity type: Individual
Primary specialty: Pharmacotherapy PharmacistPharmacy Service Providers
Credential: PHARMD
Sex: Male
Sole proprietor: No
License: 3122 (WY)

Practice location

711 Samuel Ln

Cheyenne, WY 82009-4434

Phone: (307) 399-0881

More WY providers

Mailing address

711 Samuel Ln

Cheyenne, WY 82009-4434

Registry dates

Enumerated: 2006-07-25
Last updated: 2017-05-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Travis Cork, PHARMD — NPI 1124041082, Cheyenne, WY | NPI Central