Individual
CARIE CODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1100 LEJUNE DR, SPRINGFIELD, IL 62703-4537
(217) 529-6299
(217) 529-6326
Mailing address
1355 E DIVERNON RD, DIVERNON, IL 62530-9042
(217) 652-3146
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051297679
IL
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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