Provider Demographics
NPI:1508730003
Name:PERRYMAN, CASSIDY (PHARMD)
Entity type:Individual
Prefix:
First Name:CASSIDY
Middle Name:
Last Name:PERRYMAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:CASSIDY
Other - Middle Name:
Other - Last Name:HIXON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2508 E FOX FARM RD STE 1B
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82007-2559
Mailing Address - Country:US
Mailing Address - Phone:307-637-7000
Mailing Address - Fax:
Practice Address - Street 1:2508 E FOX FARM RD STE 1B
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82007-2559
Practice Address - Country:US
Practice Address - Phone:307-637-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA.0025351183500000X
WY4628183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist