Individual
DR. CODY J CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4901 N 4TH AVE, SIOUX FALLS, SD 57104-0444
(605) 321-2877
Mailing address
251 N 3RD AVE, PO BOX 81, CANISTOTA, SD 57012
(605) 321-2877
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5219
SD
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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