CODY DEFOREST

Pharmacist

NPI: 1679259121Individual

Specialties, Licenses & Credentials

PharmacistPrimary

Pharmacist

Code: 183500000X

P10698(ID)

Contact & Hours

Address: 309 MAIN ST
SALMON, ID 83467
Phone: (208) 742-3784

Quick Facts

NPI: 1679259121
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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