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Individual

ANDREW MICHAEL CODER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8333 ROCKSIDE RD, CLEVELAND, OH 44125-6134
(216) 369-2200
Mailing address
272 MANGRUMS ROAD, DANVILLE, VA 24541
(434) 251-0425

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
0202219679
VA
3336M0002X
Mail Order Pharmacy
Primary
0202219679
VA

Other

Enumeration date
08/06/2021
Last updated
01/24/2024
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