Individual
CODY MICHAEL FOURNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
121 OLD ROUTE 146, HALFMOON, NY 12065-2912
(518) 371-5842
(518) 371-5931
Mailing address
2102 HAYNER HEIGHTS DR, HALFMOON, NY 12065-4564
(315) 559-9107
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
070290
NY
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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