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Individual
CODY MICHAEL CHILDERS
Active
Individual
CODY MICHAEL CHILDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
E-14467
MS
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
E-14467
MS
Other
Enumeration date
07/11/2016
Last updated
01/13/2020
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