Individual
CODY TALLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4821 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462-6710
(757) 278-2011
(757) 278-2005
Mailing address
4821 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462-6710
(757) 278-2011
(757) 278-2005
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0230035377
VA
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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