Individual
CODY COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1224 TROTWOOD AVE, DEPT OF PHARMACY, COLUMBIA, TN 38401-4802
(931) 305-9249
Mailing address
1224 TROTWOOD AVE, DEPT OF PHARMACY, COLUMBIA, TN 38401-4802
(931) 305-9249
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40306
TN
Other
Enumeration date
07/04/2016
Last updated
07/04/2016
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