Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jason Lawrence Walck, PHARMD

Individual provider Pharmacist · NPI 1700174539

Dr. Jason Lawrence Walck, PHARMD is a Pharmacist in Cheyenne, Wyoming. Licensed in New York and Wyoming. Registered with an NPI since 2011.

Licensed in
NY, WY
In the registry since
2011
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

2360 E Pershing Blvd # 119
Cheyenne, WY 82001-5356
Phone: (307) 778-7550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Pharmacist (primary) Taxonomy 1835G0303X · Licence 9103911 (WY)
Pharmacist Taxonomy 183500000X · Licence 054562 (NY)

Record details

NPI number1700174539
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedJuly 14, 2011
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024
Mailing address2360 East Pershing Blvd, Pharmacy 119, Cheyenne, WY 82001

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