Individual
CODY SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6133 E MINERAL DR, CENTENNIAL, CO 80112-3009
(720) 837-8302
Mailing address
6133 E MINERAL DR, CENTENNIAL, CO 80112-3009
(720) 837-8302
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0021949
CO
Other
Enumeration date
09/28/2016
Last updated
09/05/2017
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