Individual
CODY FRYZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
352 N ROSS ST, BEAVERTON, MI 48612-8165
(989) 435-7727
Mailing address
352 N ROSS ST, BEAVERTON, MI 48612-8165
(989) 435-7727
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302413945
MI
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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