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Individual

CODY BALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
12400 E MARGINAL WAY S, AMB-2 PHARM ADMIN, TUKWILA, WA 98168-2559
(206) 901-6773
Mailing address
12400 E MARGINAL WAY S, AMB-2 PHARM ADMIN, TUKWILA, WA 98168-2559
(206) 901-6773

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60295550
WA

Other

Enumeration date
08/30/2012
Last updated
08/30/2012
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