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Individual

CODY CRIBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
705 BOYD RD, AZLE, TX 76020-4811
(817) 444-2984
Mailing address
6204 HIGH MEADOWS DR, KRUM, TX 76249-3881
(806) 239-8759

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
54765
TX

Other

Enumeration date
07/14/2014
Last updated
07/14/2014
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