Healthcare Provider Details

I. General information

NPI: 1851384721
Provider Name (Legal Business Name): LES EVERETT SILVEY PHARM.D
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/25/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 E 23RD ST
CHEYENNE WY
82001-3748
US

IV. Provider business mailing address

2112 CONCHA LOOP
CHEYENNE WY
82009-1266
US

V. Phone/Fax

Practice location:
  • Phone: 307-633-7970
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2594
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: