Individual
DR. CODY RAY PLAISTED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
3480 E ROUTE 66, FLAGSTAFF, AZ 86004-4032
(307) 399-5957
Mailing address
3480 E ROUTE 66, FLAGSTAFF, AZ 86004-4032
(307) 399-5957
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3450
WY
183500000X
Pharmacist
S019113
AZ
Other
Enumeration date
07/01/2011
Last updated
10/02/2013
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