MEDICARE: DR. ANN MARIE BYRD PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	3043	WY

General Provider Information

NPI Number	:	1619932597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANN MARIE BYRD PHARMD

Provider Business Mailing Address
First Line	:	PO BOX 102
Second Line	:
City	:	LARAMIE
State	:	WY
Zip	:	82073-0102
Country	:	US
Telephone Number	:	307-399-2878
Fax Number	:

Provider Business Practice Location Address
First Line	:	2360 E. PERSHING BLVD
Second Line	:
City	:	CHEYENNE
State	:	WY
Zip	:	82001
Country	:	US
Telephone Number	:	307-778-7550
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	07/08/2007

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