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Individual

MR. MICHAEL RAY CODDINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
725 S WAHANNA RD, SEASIDE, OR 97138-7735
(503) 717-7307
(503) 717-7308
Mailing address
2152 CEDAR ST, SEASIDE, OR 97138-7714
(503) 338-8788
(503) 717-7308

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
7038
OR

Other

Enumeration date
04/27/2012
Last updated
04/27/2012
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