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Jade Enevoldsen, PHARMD
Pharmacist in Laramie, Wyoming
NPI 1669877015

Jade Enevoldsen is a Pharmacist based in Laramie, WY. Jade Enevoldsen practices in Laramie, WY and has the professional credentials of PHARMD. The NPI Number for Jade Enevoldsen is 1669877015 and holds a License No. 3784 (Wyoming).

The current practice location address for Jade Enevoldsen is 4308 E Grand Ave, Laramie, WY and can be reached out via phone at 307-745-6112 and via fax at 307-721-4975.

Location: 4308 E Grand Ave, Laramie, WY, 82070-5508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669877015
Provider Name
Jade Enevoldsen
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
4308 E Grand Ave, Laramie, WY, 82070-5508
Phone Number
307-745-6112
Fax Number
307-721-4975
Provider Enumeration Date
10/28/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3784 01 WY PHARMACIST LICENSE
institution
Provider Business Practice Location Address Details
Address
4308 E Grand Ave
City
Laramie
State
Wyoming
Zip
82070-5508
Phone Number
307-745-6112
Fax Number
307-721-4975
person
Provider Business Mailing Address Details
Address
4308 E Grand Ave
City
Laramie
State
Wyoming
Zip
82070-5508
Phone Number
307-745-6112
Fax Number
307-721-4975
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
3784 (Wyoming)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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