Individual
DR. CODY DEAN WIMBERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3800 W WALKER ST, BRECKENRIDGE, TX 76424-3996
(254) 559-2262
Mailing address
804 WESTRIDGE CIR, BRECKENRIDGE, TX 76424-2532
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
58548
TX
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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