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Individual

DR. CODY ZACHARY THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11031 STATE ROUTE 212 NE, BOLIVAR, OH 44612-8744
(330) 874-3723
Mailing address
6030 WENTWORTH LN SW, CANTON, OH 44706-3285
(330) 413-3549

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03444764
OH

Other

Enumeration date
09/10/2024
Last updated
09/10/2024
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