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Individual

GARY COZAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
9800 SE WASHINGTON ST, CVS PHARMACY, PORTLAND, OR 97216-2420
(503) 252-5934
Mailing address
2900 GENERAL ANDERSON RD APT L110, VANCOUVER, WA 98661-9006
(941) 735-2583

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT-0015317
OR

Other

Enumeration date
05/15/2025
Last updated
05/15/2025
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