Individual
MR. CODY JUSTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
901 MEMORIAL DR, PULASKI, VA 24301-2303
(540) 980-0146
Mailing address
24782 MOCK KNOB RD, ABINGDON, VA 24211-5610
(276) 220-1117
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202219256
VA
Other
Enumeration date
12/31/2021
Last updated
12/31/2021
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