Individual
CODY MARTYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
955 FL-16, ST. AUGUSTINE, FL 32084
(904) 819-6774
Mailing address
955 FL-16, ST. AUGUSTINE, FL 32084
(904) 819-6774
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS61324
FL
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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