Individual
CODY KIBBEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20168 EVA ST, MONTGOMERY, TX 77356-2006
(936) 449-7167
Mailing address
20168 EVA ST, MONTGOMERY, TX 77356-2006
(936) 449-7167
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
68761
TX
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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