Individual
CODY PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
489 ROAD 138, CHEYENNE, WY 82007-9658
(307) 421-0512
Mailing address
489 ROAD 138, CHEYENNE, WY 82007-9658
(307) 421-0512
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3154
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3154
PHARMACY
WY
Enumeration date
08/15/2014
Last updated
08/15/2014
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