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Individual

CODY WEIDENHAFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 382-4321
Mailing address
61568 AARON WAY APT 7304, BEND, OR 97702-8812
(307) 286-1993

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0015537
OR

Other

Enumeration date
01/10/2019
Last updated
01/10/2019
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