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Individual

DR. CODY LIKES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1555 NORTHGATE MILE, IDAHO FALLS, ID 83401-2014
(208) 535-2553
Mailing address
1555 NORTHGATE MILE, IDAHO FALLS, ID 83401-2014
(208) 535-2553

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P8432
ID

Other

Enumeration date
08/26/2019
Last updated
08/26/2019
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